Form 8700-13 A/B 8700-13 A/B 2011 Hazardous Waste Report

2011 Hazardous Waste Report, Notification of Regulated Waste Activity, and Part A Hazardous Waste Permit Application and Modification

2011 Hazardous Waste Report OMB

Hazardous Waste Report (Private Facilities)

OMB: 2050-0024

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 2050-0024 can be found here:

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United States
Environmental Protection
Agency

[INSERT MONTH] 2011

2011 Hazardous
Waste Report
Instructions and Forms
EPA Form 8700-13 A/B
(OMB #2050-0024; Expires xx/xx/xxxx)

Office of Resource Conservation and Recovery (ORCR)
(5303P)
Washington, DC 20460
2011 Hazardous Waste Report
Instructions and Forms
This is an ongoing information collection from hazardous waste generators and hazardous waste treatment, storage, or disposal
facilities. This collection is done on a two-year cycle as required by Sections 3002 and 3004 of the Resource Conservation and
Recovery Act (RCRA). The information is collected via a mechanism known as the Hazardous Waste Report for the required
reporting year [EPA Form 8700-13 A/B] (also known as the Biennial Report). Both RCRA Sections 3002 and 3004 require EPA
to establish standards for recordkeeping and reporting of hazardous waste. Section 3002 applies to hazardous waste generators
and Section 3004 applies to hazardous waste treatment, storage, and disposal facilities. The implementing regulations are found
at 40 CFR Parts 262.40(b) and (d); 262.41(a)(1)-(5), (a)(8), and (b); 264.75(a)-(e) and (j); 265.75(a)-(e) and (j); and 270.30(l)(9).
This is mandatory reporting by the respondents.
The respondents’ submissions (reports) describe each generated hazardous waste, the activity by which they generated the
wastes, and the waste quantity; the reports also list the management method by which each waste is treated, recycled, or disposed
and the quantity managed. There are a number of uses of Biennial Report data. EPA uses Biennial Report data for planning and
developing regulations, compliance monitoring, and enforcement. Also, Biennial Report data allows the Agency to determine
whether its regulations are having the desired effect on the generation and management of hazardous waste. For example,
Biennial Report data provides information on whether waste management has shifted from one method of disposal to another.
Some State uses of Report data include support of planning, fee assessment, compliance monitoring, and enforcement.
Some businesses consider some of their hazardous waste information to be Confidential Business Information (CBI). A business
may, if it desires, protect its Biennial Report information from public disclosure by asserting a claim of confidentiality covering
all or part of its information. When a claim is made EPA will treat the information in accordance with the confidentiality
regulations in 40 CFR Part 2, Subpart B. EPA also ensures that the information collection procedures comply with the Privacy
Act of 1974 and OMB Circular 108.
Estimated Burden: The total annual public reporting and recordkeeping burden for this collection of information is estimated to
average [x] hours per response. The annual reporting burden is estimated to average [x] hours per response including time for
reviewing instructions, gathering data, completing and reviewing the forms, and submitting the report. The annual recordkeeping
requirement is estimated to average [x] hours per respondent including the time for filing and storing the Biennial Report
submission.
To comment on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested
methods for minimizing respondent burden, including the use of automated collection techniques, EPA has established a public
docket for this ICR under Docket ID Number 0976.15, which is available for public viewing at the RCRA Docket in the EPA
Docket Center (EPA/DC), EPA West, Room 3334, 1301 Constitution Ave., NW, Washington, D.C. The EPA Docket Center
Public Reading Room is open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding legal holidays. The telephone
number for the Reading Room is (202) 566-1744 and the telephone number for the RCRA Docket is (202) 566-0270. An
electronic
version
of
the
public
docket
is
available
through
EPA
Dockets
(EDOCKET)
at
http://www.epa.gov/dockets/regulations.htm.
Use EDOCKET to submit or view public comments, access the index listing of the contents of the public docket, and to access
those documents in the public docket that are available electronically. Once in the system, select “search,” then key in the docket
ID number identified above. Also, you can send comments to the Office of Information and Regulatory Affairs, Office of
Management and Budget, 725 17th Street, NW, Washington, D.C. 20503, Attention: Desk Office for EPA. Please include the
EPA Docket ID Number 0976.15 and OMB Control Number 2050-0024 in any correspondence.

Table of Contents
PURPOSE OF THE 2011 HAZARDOUS WASTE REPORT ................................................. 1
What’s New.................................................................................................................................... 2
WHO MUST FILE THE 2011 HAZARDOUS WASTE REPORT ......................................... 3
Sites Required to File the Hazardous Waste Report ................................................................... 3
Sites That Should Not File the Hazardous Waste Report ........................................................... 4
State-Specific Requirements ....................................................................................................... 4
INSTRUCTIONS FOR FILING THE 2011 HAZARDOUS WASTE REPORT ................... 5
Introduction ................................................................................................................................. 5
Authority ..................................................................................................................................... 5
Overview of the 2011 Hazardous Waste Report......................................................................... 5
When and Where to Send Your Completed Report .................................................................... 5
Which Forms To Submit and What to Report ............................................................................ 6
Filling out the Forms ................................................................................................................... 8
Contacts for Assistance ........................................................................................................... 8
Copies of Hazardous Waste Report Instructions and Forms .................................................. 8
Documents Helpful in Filling out the Forms .......................................................................... 8
Code Lists ............................................................................................................................... 8
Skip Instructions ..................................................................................................................... 8
Explanations ............................................................................................................................ 8
Alphanumeric Fields ............................................................................................................... 9
Right Justification of Quantities ............................................................................................. 9
Comments Section of Forms ................................................................................................... 9
Page Numbering of Forms ...................................................................................................... 9
Photocopies of Forms ............................................................................................................. 9
Electronic Reporting ............................................................................................................. 10
Confidential Business Information (CBI) ............................................................................. 10
INSTRUCTIONS FOR FILLING OUT THE RCRA SUBTITLE C SITE
IDENTIFICATION (SITE ID) FORM ..................................................................................... 11
Who Must Submit This Form ................................................................................................... 11
Purpose of This Form................................................................................................................ 11
How to Fill Out This Form ....................................................................................................... 11
Item-By-Item Instructions ......................................................................................................... 13
Item 1 – Reason for Submittal .............................................................................................. 13
Item 2 – Site EPA ID Number .............................................................................................. 14
Item 3 and 4 – Site Name and Location ................................................................................ 15
Item 5 – Site Land Type........................................................................................................ 15
Item 6 – North American Industry Classification System (NAICS) Code(s) ....................... 15
Item 7 – Site Mailing Address .............................................................................................. 15
Item 8 – Site Contact Person ................................................................................................. 16
Item 9 – Legal Owner and Operator of the Site .................................................................... 16
Item 10 – Type of Regulated Waste Activity ....................................................................... 18
Item 11 – Description of Hazardous Wastes......................................................................... 25
Item 12 – Notification of Hazardous Secondary Material (HSM) Activity.......................... 25

Item 13 – Comments ............................................................................................................. 26
Item 14 – Certification .......................................................................................................... 26
ADDENDUM TO THE SITE IDENTIFICATION FORM: NOTIFICATION OF
HAZARDOUS SECONDARY MATERIAL ACTIVITY....................................................... 27
You Must Fill Out This Section If: ........................................................................................... 27
Item 1 – Indicate Reason for Notification (include dates where requested): ............................ 27
Item 2 – Description of Excluded Hazardous Secondary Material (HSM) Activity ................ 28
Item 3 – Facility has Financial Assurance Pursuant to 40 CFR 261.4(a)(24)(vi)..................... 31
INSTRUCTIONS FOR FILLING OUT THE GM FORM – WASTE GENERATION AND
MANAGEMENT ........................................................................................................................ 32
Who Must Submit this Form..................................................................................................... 32
Purpose of this Form ................................................................................................................. 32
How to Fill out this Form.......................................................................................................... 32
Wastes to be Reported .............................................................................................................. 32
Wastes Not to be Reported ....................................................................................................... 33
How to Report Similar Wastes on the GM Form ..................................................................... 35
Item-By-Item Instructions ......................................................................................................... 36
Section 1 – Waste Characteristics ......................................................................................... 36
Item A – Waste Description.............................................................................................. 36
Item B – EPA Hazardous Waste Code(s) ......................................................................... 36
Item C – State Hazardous Waste Code(s) ......................................................................... 36
Item D – Source Code and Management Method Code for Source Code G25 ................ 37
Item E – Form Code .......................................................................................................... 37
Item F – Quantity Generated in 2011 / UOM and Density ............................................... 38
Item G – Waste Minimization Code ................................................................................. 38
Section 2 – On-site Generation and Management of Hazardous Waste During 2011.......... 38
On-Site Management Method Code ................................................................................. 39
Quantity Treated, Disposed, or Recycled On-site in 2011 ............................................... 40
Section 3 – Off-site Shipment of Hazardous Waste ............................................................. 40
Item A – Was any of this Waste Shipped Off-site in 2011 for Treatment, Disposal, or
Recycling?......................................................................................................................... 40
Item B – EPA ID Number of Facility to which Waste was Shipped ................................ 40
Item C – Off-site Management Method Code Shipped To ............................................... 41
Item D – Total Quantity Shipped in 2011 ......................................................................... 41
INSTRUCTIONS FOR FILLING OUT THE WR FORM – WASTE RECEIVED FROM
OFF-SITE .................................................................................................................................... 42
Who Must Submit this Form..................................................................................................... 42
Purpose of this Form ................................................................................................................. 42
How to Fill out this Form.......................................................................................................... 42
Item-By-Item Instructions ......................................................................................................... 43
Item A – Waste Description.................................................................................................. 43
Item B – EPA Hazardous Waste Code(s) ............................................................................. 43
Item C – State Hazardous Waste Code(s) ............................................................................. 43
Item D – Off-site Handler EPA Identification Number ........................................................ 44
Item E – Quantity Received in 2011 ..................................................................................... 44
Item F – UOM and Density .................................................................................................. 44

Item G – Form Code ............................................................................................................. 45
Item H – Management Method Code.................................................................................... 45
OTHER REFERENCE INFORMATION AND CODE LISTS ............................................. 46
EXCLUDED WASTES ............................................................................................................ 47
DEFINITIONS.......................................................................................................................... 48
SPECIAL INSTRUCTIONS .................................................................................................... 59
EPA HAZARDOUS WASTE CODES .................................................................................... 63
HSM FACILITY CODES......................................................................................................... 64
HSM LAND-BASED UNIT CODES ....................................................................................... 65
SOURCE CODES ..................................................................................................................... 66
FORM CODES ......................................................................................................................... 68
MANAGEMENT METHOD CODES ..................................................................................... 70
WASTE MINIMIZATION CODES ......................................................................................... 72

PURPOSE OF THE 2011 HAZARDOUS WASTE REPORT
The U.S. Environmental Protection Agency’s (EPA) mission to protect human health and the
environment includes the responsibility to effectively manage, with the States, the nation’s hazardous
waste. As part of this task, the EPA and the States collect and maintain information about the generation,
management, and final disposition of the nation’s hazardous waste regulated by the Resource
Conservation and Recovery Act (RCRA).
The EPA prepared this booklet for hazardous waste generators and for facilities that treat, store, or
dispose hazardous waste to report their hazardous waste activities for calendar year 2011. The
information collected will:
•

Provide the EPA and the States with an understanding of hazardous waste generation and
management in the United States.

•

Help the EPA measure the quality of the environment, such as monitoring industry compliance
with the regulations and evaluating waste minimization efforts taken by industry.

•

Be summarized and communicated to the public, primarily through publication of the 2011
National Biennial RCRA Hazardous Waste Report.

The data you provide will be entered into a computer database by the State or the EPA Regional Office to
which you return your Hazardous Waste Report. After review, to ensure the quality of the data, EPA will
create a national database for this information. Your efforts in carefully filling out all the report forms are
appreciated.

IMPORTANT
Before completing the 2011 Hazardous Waste Report forms, please carefully read the instructions in this
booklet.
IF YOU NEED ASSISTANCE
To obtain assistance in filling out the 2011 Hazardous Waste Report forms, please contact your State
Office. Some States’ reporting requirements differ from the Federal requirements. The list of State and
EPA Regional Office addresses, contact names, telephone numbers, and e-mail addresses is located at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

What’s New

Revised note for Treater, Storer, or Disposer of
Hazardous Waste The note under Box 10.A.6 in the Site
ID form now reads “Note: A hazardous waste Part B
permit is required for these activities.”
Added instruction for source code G61 If reporting
source code G61 (hazardous waste received from off‐
site for storage/bulking and transfer off‐site for
treatment or disposal), the generation amount must be
zero (0) in Section 1, Item F.”
Added example of sequential process This example
complements the existing non‐sequential process for
reporting on‐site management.
Modified language for GM Form, Section 2 On‐site
Generation and Management Section 2 now asks “Was
any of this hazardous waste that was generated at this
facility treated, disposed, and/or recycled on‐site?”

A list of changes in the 2011 Biennial Report
Instructions and Forms
Clarified Underground Injection Control (UIC)
Instructions Facilities that generate, treat, store, or
dispose of hazardous waste and place the waste into an
underground injection well (e.g., a Class I well) located
at their site must mark “Yes” in Section 10.A.9 of the
Site ID form.
Added “Waste Pharmaceuticals” to the list of Form
Codes Form code W005 has been added to track waste
pharmaceuticals managed as hazardous waste.
Modified the description for G11 and W206 The source
code for G11 is now “Discarding off‐specification, out‐
of‐date, and/or unused chemicals or products” and the
form code W206 is now “Waste oil managed as
hazardous waste.”
Revised “Groundwater contaminated by Hazardous
Waste” instructions Replaced the term “leachate” with
“hazardous waste” and added further instructions
regarding contaminated media.
Clarified instructions for on‐site management Modified
the language to clarify that filers should choose the
management method code that best identifies the last
substantive purpose/operation it performs onsite.
Revised wording of Box 10.D (Academic Labs) and the
Addendum to the Site ID form (Hazardous Secondary
Material) Wording changes implemented to both the
Site ID form and instructions to help minimize confusion
for reporting under these rules.
Clarified “Short‐term Generator” Added examples,
further instruction, and a definition for short‐term
generator.
Developed the “Reportable and Non‐Reportable
Waste Guidance” This guidance offers instruction for
determining which wastes should be reported. This
guidance can be found at

http://www.epa.gov/epawaste/inforesources/data/bie
nnialreport/index.htm.

WHO MUST FILE THE 2011 HAZARDOUS WASTE REPORT
Sites Required to File the Hazardous Waste Report
You are required by Federal statute (mandatory reporting) to complete and file the 2011 Hazardous Waste
Report (also known as the “Biennial Report”) or your State’s equivalent hazardous waste report if your
site:
•

Met the definition (see box below) of a RCRA Large Quantity Generator (LQG) during 2011; or

•

Treated, stored, or disposed of RCRA hazardous wastes on-site during 2011.

If you are required to report, see WHICH FORMS TO SUBMIT AND WHAT TO REPORT to
determine which forms you must submit.

DEFINITION OF A RCRA LARGE QUANTITY GENERATOR
WHO MUST REPORT FOR CALENDAR YEAR 2011
A site is a RCRA Large Quantity Generator (LQG) for 2011 if the site met any of the following criteria:
a. The site generated, in any single calendar month, 1,000 kg (2,200 lbs.) or more of RCRA
non-acute hazardous waste; or
b. The site generated, in any single calendar month, or accumulated at any time, more than 1
kg (2.2 lbs.) of RCRA acute hazardous waste; or
c.

The site generated, in any single calendar month, or accumulated at any time, more than
100 kg (220 lbs.) of spill cleanup material contaminated with RCRA acute hazardous
waste.

Note:

You will report your current Hazardous Waste Generator status as of the date of submitting
your 2011 Hazardous Waste Report on the Site ID Form in Item 10.A.1 – Generator of
Hazardous Waste. Your current status may be different from the status during the report year
that requires you to file the Hazardous Waste Report.

Note:

Hazardous waste imported from a foreign country in 2011 must be counted in determining your
generator status if your site is the U.S. Importer. This waste must be reported on the GM Form
or the WR Form in your 2011 Hazardous Waste Report.

Note:

Some states, as a matter of state law, require other categories of generators to report as well. See
the discussion under “State-Specific Requirements” on page 4.

Who Must File the 2011 Hazardous Waste Report
(continued)

Sites That Should Not File the Hazardous Waste Report
Do not file the 2011 Hazardous Waste Report if, during 2011, your site was not a RCRA Large Quantity
Generator (your site did not meet any of the LQG criteria) and your site did not treat, store, or dispose of
RCRA hazardous wastes on-site in waste management units subject to a RCRA operating permit.
Exception: file the report if your state has more stringent reporting requirements. See “State-Specific
Requirements” below.”
If you are not required to report, you should notify us if your hazardous waste generator status has
changed; please fill out the RCRA Subtitle C Site Identification Form and submit it to your State Office.
See the Item-by-Item Instructions for information on filling out the Site Identification Form. Place an
“X” in the box for Subsequent Notification in Item 1 – Reason for Submittal.
Unless required by your state, do not file the 2011 Hazardous Waste Report if, during 2011, all of your
hazardous waste was exported directly out of the United States to a foreign country. Facilities that export
hazardous waste must file a separate Annual Report under 40 CFR 262.56. (This Annual Report will be in
addition to the Hazardous Waste Report, if your state requires you to submit a Hazardous Waste Report.)

State-Specific Requirements
States may impose reporting requirements above and beyond the Federal requirements. If your State does
so, it will attach information to (or delete information from) this booklet. Alternatively, some States use a
modified version of this report or their own instructions and forms to fulfill their reporting requirements.
Please contact your State Office about State-specific requirements. See the Contacts list at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

Instructions for Filing the 2011 Hazardous Waste Report
(continued)

INSTRUCTIONS FOR FILING THE 2011 HAZARDOUS WASTE REPORT
Introduction
The instructions and forms for the 2011 Hazardous Waste Report are prepared by the U.S. Environmental
Protection Agency (EPA) for generators and for treatment, storage, and disposal facilities (TSDFs) to
report their hazardous waste activities for 2011. Additionally, facilities may use this Hazardous Waste
Report to notify their regulatory authority that they are managing hazardous secondary material under 40
CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) (these facilities would notify using the RCRA
Subtitle C Site Identification Form and Addendum to the Site Identification Form).

Authority
The authority for the 2011 Hazardous Waste Report is contained in Sections 3002 and 3004 of the
Resource Conservation and Recovery Act of 1976 (RCRA), as amended by the Hazardous and Solid
Waste Amendments of 1984 (HSWA). Section 3002 requires hazardous waste generators to report to the
EPA or the authorized States, at least every two years, the quantities, nature, and disposition of generated
hazardous waste. Under the authority of Section 3004, the EPA requires reporting by treatment, storage,
and disposal facilities for the wastes they receive.

Overview of the 2011 Hazardous Waste Report
To determine if you are required to file the Hazardous Waste Report, read WHO MUST FILE THE
2011 HAZARDOUS WASTE REPORT.
Changes to the 2011 Hazardous Waste Report summarizes the primary changes that have been made to
the 2011 Hazardous Waste Report forms and instructions.
Which Forms to Submit and What to Report describe circumstances and situations under which each
of the forms should be completed.
Filling out the Forms provides general guidelines for filling out the Hazardous Waste Report forms.
This includes where to find the telephone number for the State Contacts, which you can call with
questions about completing the Hazardous Waste Report.

When and Where to Send Your Completed Report
The 2011 Hazardous Waste Report is due to your State or EPA Regional Office by March 1, 2012.
Return your completed Hazardous Waste Report to the address listed for your State or Regional contact.
See the additional information sent to you with this booklet. An updated listing of State and EPA
Regional mailing addresses, contact names, telephone numbers, and e-mail addresses is maintained at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.
Detailed instructions for filling out each of the forms are provided. Other reference information and code
lists are provided, including: a list of excluded wastes; definitions of key terms; special instructions that
explains how to report certain types of wastes (e.g., lab packs, PCBs); a list of hazardous waste codes,
HSM facility codes, HSM land-based unit codes, source codes, form codes, management method codes,
and waste minimization codes.

Instructions for Filing the 2011 Hazardous Waste Report
(continued)

Which Forms To Submit and What to Report
The 2011 Hazardous Waste Report contains the following four forms:
Site ID Form A site required to file the 2011 Hazardous Waste Report MUST submit the
RCRA Subtitle C Site Identification Form (Site ID Form) as a component of the
Report.
You will report that you are submitting the Site ID form as part of the 2011
Hazardous Waste Report in Item 1- Reason for Submittal. Mark “As a
component of the Hazardous Waste Report (If marked, see sub-bullet below)”
and mark the sub-bullet, if the status is applicable to you during the 2011
reporting year.
You will fill out the Site ID form by reporting all information current as of the
date of submitting your 2011 Hazardous Waste Report. This includes reporting
your current Hazardous Waste Generator status in Item 10.A.1 (Generator of
Hazardous Waste), which may have changed since 2011.
Facilities that will begin managing, are managing, or will stop managing
hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR
261.4(a)(23), (24), or (25) must submit the Site Identification Addendum as a
component of the Report pursuant to 40 CFR 260.42. These regulations exclude
certain hazardous secondary material(s) being reclaimed from the RCRA Subtitle
C definition of solid waste provided certain requirements and conditions are met.
GM Form

A site required to file the 2011 Hazardous Waste Report must submit Waste
Generation and Management (GM) Form(s) for all hazardous waste that was
used to determine the site’s generator status. Hazardous waste must be reported
if it was:
•

Generated and accumulated on-site and subsequently managed on-site or
shipped off-site in 2011; or

•

Generated and accumulated on-site in 2011 but not managed on-site or
shipped off-site until after 2011; or

•

Generated and accumulated on-site prior to 2011 but either managed onsite or shipped off-site in 2011; or

•

Imported from a foreign country in 2011.

Examples of RCRA hazardous wastes to be reported include those that were:
•

Generated on-site from a production process, service activity, or routine
cleanup;

•

Generated from equipment decommissioning, spill cleanup, or remedial
cleanup activity;

Instructions for Filing the 2011 Hazardous Waste Report
(continued)
•

Shipped off-site, including hazardous waste that was received from offsite (reported on the waste Received From Off-site Form [WR Form])
and subsequently shipped off-site without being treated or recycled onsite;

•

Removed from on-site storage for treating, recycling, or disposing onsite or shipped off-site;

•

Derived from the management of non-hazardous waste; or

•

Derived from the on-site treatment (including reclamation), disposal, or
recycling of previously existing hazardous waste (as a residual).

Unless required by your state, DO NOT submit a GM Form for any hazardous
waste shipped directly to a foreign country. Facilities that export hazardous waste
must file a separate Annual Report under 40 CFR 262.56. (This Annual Report
will be in addition to the Hazardous Waste Report, if your state requires you to
submit a Hazardous Waste Report.)
WR Form

A site required to file the 2011 Hazardous Waste Report must submit Waste
Received From Off-site (WR) Form(s) if, during 2011, it received RCRA
hazardous waste from off-site and managed the waste on-site (including
subsequent transfer off-site).

OI Form

A site must complete Off-Site Identification (OI) Form(s) only if the site’s State
requires it. Instructions for OI Form are on the back of the form. For a list of
State Contacts go to:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

Instructions for Filing the 2011 Hazardous Waste Report
(continued)

Filling out the Forms
Contacts for Assistance
To obtain assistance in filling out the 2011 Hazardous Waste Report forms, please contact your State or
EPA Regional Office. States’ reporting requirements or forms may differ from the Federal requirements.
The list of contact addresses, contact names, telephone numbers, and e-mail addresses is located at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.
Copies of Hazardous Waste Report Instructions and Forms
Additional copies of the 2011 Hazardous Waste Report Instructions and Forms can be obtained from the
contact provided for your State. If your State uses the EPA’s version of the instructions and forms, you
can download the booklet from:
http://www.epa.gov/epawaste/inforesources/data/biennialreport/index.htm.
Documents Helpful in Filling out the Forms
To prepare the 2011 Hazardous Waste Report, you should consult your records on quantities and types of
hazardous waste that your site generated, managed, shipped, or received in 2011. Some records that may
be helpful are:
•
•
•
•
•
•

Hazardous waste manifest forms;
Hazardous Waste Report forms submitted in previous years;
Records of quantities of hazardous waste generated or accumulated on-site;
Results of laboratory analyses of your waste;
Contracts or agreements with off-site facilities managing your wastes; and
Copies of permits for on-site waste management systems.

Code Lists
LIST This symbol denotes references to relevant code lists. Please use only the codes included in the
instructions or in the lists of codes provided.
Skip Instructions
This symbol denotes directions to skip to the next appropriate section or item to be completed,
given certain responses to some questions.
Explanations
NOTE This symbol denotes explanatory text of definitions of terms used in the instructions.

Instructions for Filing the 2011 Hazardous Waste Report
(continued)
Alphanumeric Fields
Valid characters for alphanumeric fields are limited to:
`~!@#$%^&*()_-+={}[]|\:;”’,.?/1234567890ABCDEFGHIJKLMNOPQRSTUVWXYZ
Invalid characters for alphanumeric fields include:
><
If the “<” or “>” symbols are used to indicate less than or greater than, it is recommended that these
symbols be replaced with “LT” or “GT”.
Right Justification of Quantities
Right justify all quantities reported on the forms. For example, enter a quantity of 12,000 tons on the
form as:
1 2 0 0 0 . 0
Enter a quantity of 29,599.5 tons as:
2

Comments Section of Forms
Use the Comments section at the bottom of the forms to clarify or continue any entry. For each comment,
reference the section number and item letter of the entry that is being continued. For example, if a
hazardous waste generated on-site has seven EPA hazardous waste codes, enter the first six in Section 1,
Item B of the GM Form. Enter the seventh waste code in the Comments section and cross-reference
Section 1, Item B. For example, you would write: “Sec. 1, Item B, continued: D007.”
Page Numbering of Forms
When you have filled out all the appropriate forms in your Hazardous Waste Report submission, number
the pages (each piece of paper is a page) consecutively throughout your submission. Do not number each
set of forms separately, but rather number each page sequentially. The individual page number and the
total number of pages in your submission should appear at the bottom of each page (e.g., Page 1 of 7,
Page 2 of 7).
If it is necessary to continue information from one form onto another page, make additional copies of the
form and number the additional pages with the same page number as the first page, followed by a letter
(e.g., page 27, page 27a;, page 28, page 28a, 28b). When continuing information on a supplemental page,
enter only the information that is being continued.
Photocopies of Forms
A single copy of each form is included in this booklet. Photocopy as many forms as you need to
complete your Hazardous Waste Report. Make copies after you have written your site name and EPA
Identification Number in the top left-hand corner of the form, but before you begin filling out the form.

Instructions for Filing the 2011 Hazardous Waste Report
(continued)
After you have finished filling out the forms, photocopy the entire Hazardous Waste Report and keep a
copy for a period of at least three years from the due date of the report as required by 40 CFR 262.40(b).
Electronic Reporting
The EPA encourages electronic reporting of Hazardous Waste Reports. To obtain instructions on how to
file electronically, contact your State or EPA Regional Office.
Confidential Business Information (CBI)
You may not withhold information from the Administrator of the EPA because it is confidential.
However, when the Administrator is requested to consider information confidential, it must be treated
according to the EPA regulations contained in 40 CFR, Part 2, Subpart B. These regulations provide that
a business may, if it desires, assert a claim of business confidentiality covering all or part of the
information furnished to the EPA. 40 CFR 2.203(b) explains how to assert a claim.
The EPA will treat information covered by such a claim in accordance with the procedures set forth in
Subpart B. If someone requests release of information covered by a claim of confidentiality, or if the
EPA otherwise decides to make a determination as to whether such information is entitled to confidential
treatment, the EPA will notify the business. The EPA will not disclose information as to when a claim of
confidentiality has been made except to the extent of and in accordance with 40 CFR Part 2, Subpart B.
However, if the business does not claim confidentiality when it furnishes the information, the EPA may
make the information available to the public without notice to the business.

IF YOU NEED ASSISTANCE
To obtain assistance in filling out the 2011 Hazardous Waste Report forms, please contact your State or
EPA Regional Office. States’ reporting requirements or forms may differ from the Federal requirements.
The list of State and EPA Regional Office addresses, contact names, telephone numbers, and e-mail
addresses is located at: http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.
This booklet and other related information can be found at: http://www.epa.gov/osw/inforesources
/data/biennialreport.

INSTRUCTIONS FOR FILLING OUT THE RCRA SUBTITLE C SITE
IDENTIFICATION (SITE ID) FORM
Who Must Submit This Form
All sites required to submit any of the following must submit the RCRA Subtitle C Site Identification
(Site ID) Form:
•
•
•
•
•
•
•

Initial Notification of Regulated Waste Activity
Subsequent Notification of Regulated Waste Activity
First RCRA Hazardous Waste Part A Permit Application
Revised RCRA Hazardous Waste Part A Permit Application
Hazardous Waste Report
Notification for eligible academic entities opting into or withdrawing from managing laboratory
hazardous wastes pursuant to 40 CFR Part 262 Subpart K (if in an eligible State)
Notification for facilities managing hazardous secondary material pursuant to 40 CFR 260.42 (if
in an eligible State)

Some States have requirements in addition to, or that are different from the Federal requirements. To
obtain the appropriate forms or ask questions, refer to a list of contacts at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf. The list will tell you whether the
Federal form or a State form is used, who to contact, and where to mail the completed form.

Purpose of This Form
The Site ID Form provides site-specific information about your facility and is used to obtain an EPA
Identification Number. The Site ID form also provides updated information for items that have changed
at your site and verifies the information for those items that remain unchanged.

How to Fill Out This Form
Complete the following Site ID Form items, as applicable to your facility:
•
•
•
•
•
•
•
•
•
•
•

Item 1 –
Item 2 –
Item 3 –
Item 4 –
Item 5 –
Item 6 –
Item 7 –
Item 8 –
Item 9 –

your reason for submitting the form
your site’s EPA Identification Number
the name of your site
the physical location of your site
the land type of your site
the North American Industry Classification System (NAICS) code(s) for your site
the mailing address for your site
name, title, address, phone number, fax, and e-mail of a contact person at your site
name, address, and phone number of the legal owner(s) and name of the operator(s) of
your site
Item 10 – your site’s regulated waste activities (enter all that apply)
Item 11 – the description of hazardous waste

Site ID Form
(continued)
•
•
•
•

Item 12 – your site’s hazardous secondary material activity, if you manage any
Item 13 – additional comments on Items 1 – 12
Item 14 – certification that the information you provided throughout the form is truthful, accurate
and complete
Addendum to the Site Identification Form – notification of hazardous secondary material activity

Type or print, in black ink, all items except the Signature box in Item 14. In Item 14, provide the
required ink signatures. Signatures must be original. Stamped or photocopied signatures are not
acceptable. Enter your site’s EPA Identification Number in the top left-hand corner on all pages of the
form; for an Initial Notification for this site, leave the EPA Identification Number blank. Use Item 13 –
Comments to clarify or provide additional information for any entry. When entering information in the
comments section, enter the item number and box letter to which the comment refers. If you must use
additional sheets for comments, enter your site’s EPA Identification Number in the top left-hand corner of
each sheet.

Site ID Form
(continued)

Item-By-Item Instructions
Item 1 – Reason for Submittal
Reason for Submittal: Place an “X” in the appropriate box(es) to indicate whether this form is your
Initial Notification (i.e., this is your first time submitting site identification information / to obtain an EPA
Identification Number for this location); a Subsequent Notification (to update your site identification
information); a component of a First or a Revised Hazardous Waste Part A Permit Application; or a
component of the Hazardous Waste Report.
•

•

To provide an Initial Notification (first time submitting site identification information / to
obtain an EPA Identification Number for this location).
o

If your waste activity is regulated under Subtitle C of the Resource Conservation and
Recovery Act (RCRA) and the rules promulgated pursuant to the Act (specifically 40
CFR Parts 260-299), you must submit this form to notify the appropriate State or EPA
Regional Office of your regulated waste activities and obtain an EPA Identification
Number.

If you are an eligible academic entity opting into 40 CFR 262 Subpart K for managing
laboratory hazardous wastes AND you have never before submitted site identification
information, you must submit this form to notify the appropriate State or EPA Regional
Office of your activities. Note: You must check with your State to determine if you are
eligible to manage laboratory hazardous waste pursuant to 40 CFR Part 262 Subpart K in
order for you to notify.

If you will begin managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii),
40 CFR 261.4(a)(23), (24), or (25) AND you have never before submitted site
identification information, you must submit this form, pursuant to 40 CFR 260.42, to
notify the appropriate State or EPA Regional Office of your activities. Note: You must
check with your State to determine if you are eligible to manage hazardous secondary
material under these exclusions in order for you to notify.

To provide a Subsequent Notification (to update site identification information for this
location).
o

You must use this form to submit a subsequent notification if your site already has an
EPA Identification Number and you wish to change information (e.g., generator status,
new site contact person, new owner, new mailing address, new regulated waste activity,
etc.).

If you have previously submitted site identification information and are an eligible
academic entity opting into or withdrawing from 40 CFR Part 262 Subpart K for
managing laboratory hazardous wastes, you must use this form. Note: You must check
with your State to determine if you are eligible to manage laboratory hazardous waste
pursuant to 40 CFR Part 262 Subpart K in order for you to notify.

If you have previously submitted site identification information and are notifying (or renotifying) that you will begin managing, are managing, or have stopped managing
hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24),

Site ID Form
(continued)
or (25), you must submit this form, pursuant to 40 CFR 260.42, to notify the appropriate
State or Regional Office of your activities. Note: You must check with your State to
determine if you are eligible to manage hazardous secondary material under these
exclusions in order for you to notify.
•

As a component of a First RCRA Hazardous Waste Part A Permit Application. If your site
is planning to treat, store, or dispose of hazardous waste on-site in a unit that is not exempt from
obtaining a hazardous waste permit, you must submit this form as part of the Part A Permit
Application. Also, if the activity at this site (treatment, storage, or disposal) became newly
regulated under RCRA Subtitle C and the rules promulgated pursuant to the Act (specifically 40
CFR Parts 260-299), you must submit this form as part of the Part A Permit Application.

•

As a component of a Revised RCRA Hazardous Waste Part A Permit Application. If you
must submit a revised Part A Permit Application to reflect changes that have occurred at your
site, you must submit this form as part of your revised Part A Permit Application. Examples of
site changes requiring a revised Part A Permit Application include managing new wastes not
identified in the first submission of the form or changes to existing waste treatment processes.
When submitting a revised Part A Permit Application, please include the Amendment number in
the appropriate space.

•

As a component of the Hazardous Waste Report. (If marked, see sub-bullet below). If you
are required to submit a Hazardous Waste Report indicating the amount of hazardous waste you
generate, treat, recycle, dispose, ship off-site, or receive from off-site, you must fill out this form.
A Site ID Form submitted with a Hazardous Waste Report is equivalent to a Subsequent
Notification.
o

Site was a TSD facility and/or generator of ≥ 1,000 kg of hazardous waste, > 1 kg of
acute hazardous waste, or > 100 kg of acute hazardous waste spill cleanup in one or
more months of the report year (or State equivalent LQG regulations). The purpose
of this check box is to distinguish between sites that meet the criteria and are required to
file a report versus those who file voluntarily or by State-only requirement but were not a
TSD facility or a Large Quantity Generator (LQG) during the report year. Sites required
to file the report should place an “X” in this box while non-LQG/TSD sites should not.
For more information about who must file a report, refer to Who Must File the Hazardous
Waste Report.

Item 2 – Site EPA ID Number
Provide your EPA Identification Number in Item 2 for this site. The first two characters of the EPA ID
Number must be a valid state postal code. Be sure to include your EPA Identification Number at the top
of all pages of the form (as well as on any attachments to the Site ID Form).

NOTE

If this is your Initial Notification for this site, leave the EPA Identification Number blank
and proceed to Item 3.

Site ID Form
(continued)
Item 3 and 4 – Site Name and Location
Provide the legal name of your site and a complete location address. Please note that the address you give
for Item 4, Site Location, must be a physical address, not a post office box or route number. Only foreign
hazardous waste transporters, with their headquarters located outside the U.S., may provide a Site
Location Country outside of the U.S.
NOTE

A new EPA Identification Number is required if you change the location of your site.

Item 5 – Site Land Type
Place an “X” in the box that best describes the land type of your site. Select only one type: Private,
County, District, Federal, Tribal (see below), Municipal, State, or Other. If your site’s Land Type could
be described as Municipal and another Land Type, such as County, District, or Tribal, do not place an
“X” in Municipal. Instead, choose the other appropriate Land Type. (For example, if your site’s Land
Type is both Municipal and County, you would place an “X” in the box for County.) You may explain
this in Item 13 – Comments.
Tribal – A member of one of the tribes/entities on the list of federally recognized American
Indian tribes and Alaskan Native entities located at:
http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.
Item 6 – North American Industry Classification System (NAICS) Code(s)
Box A must be completed. Completing Boxes B-D is recommended, if applicable.
Box A

Provide the North American Industry Classification System (NAICS) code that
best describes your site’s primary business production process for your products
or services. Referencing the latest NAICS codes, use the 6-digit code (most
specific description) if available for your business; if not, use the 5-digit code; do
not enter any four (4) or less digit codes.

Boxes B – D

List other NAICS codes that describe the other business production processes for
your site. Referencing the latest NAICS codes, use the 6-digit code (most
specific description) if available for your business; if not, use the 5-digit code; do
not enter any four (4) or less digit codes.

Check with your accounting or business staff to determine your NAICS code(s); the NAICS code is used
in tax reporting and other business reports. You can obtain additional information about NAICS codes at
http://www.census.gov/eos/www/naics.
Item 7 – Site Mailing Address
Please enter the Site Mailing Address. If the Mailing Address and the Location of Site (Item 4) are the
same, you can enter “Same as Item 4” in the box for Item 7.

Site ID Form
(continued)
Item 8 – Site Contact Person
Enter the name, title, business address, telephone number, extension, fax number, and e-mail address of
the individual who should be contacted regarding the information submitted in the Site ID Form. A
Subsequent Notification is recommended when the Site Contact Person changes. Do not enter other
contact persons here; if there are other persons, who may be contacted about this submission, list them
and their other contact information in Item 13. If the person completing the Hazardous Waste Report is
not the primary site RCRA hazardous waste contact, enter the primary site RCRA hazardous waste
contact here and add the contact information for the person completing the Hazardous Waste Report in
Item 13 – Comments.
Note: This is NOT the Facility Permit Contact information. The Facility Permit Contact information
should be entered on the RCRA Hazardous Waste Part A Permit Application.
Item 9 – Legal Owner and Operator of the Site
This section should be used to indicate all owners and operators of this site.
A. Name of Site’s Legal Owner: Provide the name of your site’s legal owner(s). This includes
owner(s) of the building(s) and land. Please review these definitions:
Owner – The person who owns a RCRA site or part of a RCRA site. Note: This
includes the owner(s) of the building(s) and/or land. This may be an individual,
company, or business name. See Person.
Person – An individual, trust, firm, joint stock company, Federal Agency, corporation,
(including a government corporation), partnership, association, State, municipality,
commission, political subdivision of a State, or any interstate body.
Date Became an Owner: Indicate the date on which the above entity became the owner of
your site. Enter dates as in this example: For April 22, 2011, enter 04/22/2011. This is a
required field and a date must be reported.
Owner Type: Place an “X” in the box that best describes the owner type of your site.
Select only one type: Private, County, District, Federal, Tribal (see below), Municipal, State,
or Other. If your site’s Owner Type could be described as Municipal and another Owner
Type, such as County, District, or Tribal, do not place an “X” in Municipal. Instead, choose
the other appropriate Owner Type. (For example, if your site’s Owner Type is both Municipal
and County, you would place an “X” in the box for County.). You may explain this in Item
13 – Comments.
Tribal – A member of one of the tribes/entities on the list of federally recognized
American Indian tribes and Alaskan Native entities located at:
http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.
Legal Owner Address: Enter the address of the legal owner. If the address and the
Location of Site (Item 4) are the same, you can enter “Same as Item 4” in the box for Item 9.
Use the Comments section in Item 13 to list any additional owners, their names, the dates
they became owners, owner type, mailing address, and which owner(s), if any, are no longer

Site ID Form
(continued)
owners since your last submission of this form. If necessary, attach a separate sheet of paper.
Remember to enter your site’s EPA Identification Number in the top left-hand corner of each
sheet.
B. Name of Site’s Operator. Provide the name of your site’s operator. Please review these
definitions.
Operator – The person responsible for the overall operation of a RCRA site. Note: This
is the legal entity which controls the RCRA site operation rather than the plant or site
manager. This is usually a company or business name, but may be an individual. See
Person.
Person – An individual, trust, firm, joint stock company, Federal Agency, corporation,
(including a government corporation), partnership, association, State, municipality,
commission, political subdivision of a State, or any interstate body.
Date Became an Operator: Indicate the date on which the above entity became the operator
of your site. Enter dates as in this example: For April 22, 2011, enter 04/22/2011. This is a
required field and a date must be reported.
Operator Type: Place an “X” in the box that best describes the operator type of your site.
Select only one type: Private, County, District, Federal, Tribal (see below), Municipal, State,
or Other. If your site’s Operator Type could be described as Municipal and another Operator
Type, such as County, District, or Tribal, do not place an “X” in Municipal. Instead, choose
the other appropriate Operator Type. (For example, if your site’s Operator Type is both
Municipal and County, you would place an “X” in the box for County.) You may explain this
in Item 13 – Comments.
Tribal – A member of one of the tribes/entities on the list of federally recognized
American Indian tribes and Alaskan Native entities located at:
http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.
Use the Comments section in Item 13 to list any additional operators, their names, the dates
they became operators, operator type, mailing address, and which operator(s), if any, are no
longer operators since your last submission of this form. If necessary, attach a separate sheet
of paper. Remember to enter your site’s EPA Identification Number in the top left-hand
corner of each sheet.

NOTE

A subsequent notification is recommended when the owner or operator of a site changes.
Because an EPA Identification Number is site-specific, the new owner will keep the
existing EPA Identification Number for that location. If your business moves to another
location, the owner or operator must notify the State or EPA Regional Office of this
change. Since your business has changed locations, a new EPA Identification Number will
be assigned.

Site ID Form
(continued)
Item 10 – Type of Regulated Waste Activity
Mark box “Yes” or box “No” as appropriate for all current activities (as of the date submitting the
form) at this site; complete any additional boxes as instructed. Current activities mean activities that are
in effect when the form is submitted or those that the site plans to begin after EPA Identification Number
assignment. The information you provide in Item 10 will be considered current as of the date you certify
the form. If the site is no longer a generator as of the date you certify the form, you should mark the “No”
(not a generator) box for Generator of Hazardous Waste.

NOTE

You must report your current regulated waste activities as of the date of submitting the Site
ID Form. For the Hazardous Waste Report, your current status may be different than the
status requiring the report during the calendar year.

A. Hazardous Waste Activities (Complete all parts 1 through 10):

NOTE

Listed below are the Federal generator status definitions. If, however, the
State where your site is located has definitions different from the Federal
definitions, you must use the State definitions.

1. Generator of Hazardous Waste (at your site): If you generate a hazardous waste
that is listed in 40 CFR 261.31 through 261.33 or identified by one or more
hazardous waste characteristic(s) contained in 40 CFR 261.21 through 261.24, place
an “X” in the appropriate box for the quantity of hazardous waste that is generated
per
calendar
month.
(These
regulations
can
be
found
at
http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=%2Findex.tpl.)
The
regulations for hazardous waste generators are found in 40 CFR Part 262. Consult
these regulations and your State for details about how the regulations apply to your
situation. Below is a brief description of the three types of hazardous waste
generators.
If “Yes”, place an “X” in only one of the following – a, b, or c.
a. LQG: Large Quantity Generator
This site is a Large Quantity Generator if the site meets any of the following
criteria:
i) Generates, in any calendar month, 1,000 kg (2,200 lbs.) or more of nonacute RCRA hazardous waste; or
ii) Generates, in any calendar month, or accumulates at any time, more than
1 kg (2.2 lbs) of RCRA acute hazardous waste; or
iii) Generates, in any calendar month, or accumulates at any time, more than
100 kg (220 lbs.) of spill cleanup material contaminated with RCRA
acute hazardous waste.

Site ID Form
(continued)

If, in addition to being an LQG, you recycle hazardous
wastes at your site, mark both this box and Item 10.A.4.
NOTE

Hazardous secondary material managed under 40 CFR
261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) DOES
NOT count towards your generator status. However, you
must check with your State to determine if you are eligible to
manage hazardous secondary material under these
exclusions.

b. SQG: Small Quantity Generator
This site is a Small Quantity Generator if the site meets all of the following
criteria:
i) Generates, in any calendar month, 100 kg (220 lbs.) but less than 1,000
kg (2,200 lbs.) of RCRA hazardous waste; and
ii) Does not generate, in any calendar month, or accumulate at any time,
more than 1 kg (2.2 lbs.) of acute hazardous waste; and
iii) Does not generate more than 100 kg (220 lbs.) of material from the
cleanup of a spill of acute hazardous waste.
OR, the site is Small Quantity Generator if the site:
i) Meets i) and iii) of the Conditionally Exempt Small Quantity Generator
criteria (see below), but
ii) Is storing more than 1,000 kg (2,200 lbs.) of RCRA hazardous waste onsite. If the site accumulates, at any time, more than 1,000 kg (2,200 lbs.)
of RCRA hazardous waste, the site must apply for an EPA ID Number
using this form.
c. CESQG: Conditionally Exempt Small Quantity Generator
This site is a CESQG if the site does all of the following:
i) Generates no more than 100 kg (220 lbs.) of RCRA hazardous waste in
any calendar month; and
ii) Does not accumulate, at any time, more than 1,000 kg (2,200 lbs) of
RCRA hazardous waste; and
iii) Does not generate, in any calendar month, or accumulate at any time,
more than 1 kg (2.2 lbs.) of acute hazardous waste and no more than 100
kg (220 lbs.) of material from the cleanup of a spill of acute hazardous
waste.

NOTE

If you generate acute hazardous wastes listed in 40 CFR 261.31,
261.32, or 261.33(e), please refer to 40 CFR 261.5(e) to determine the
circumstances under which you must notify the EPA.

If you marked “Yes” above, indicate your other generator activities. Mark “Yes” or
“No” for the other hazardous waste activities listed below that may occur at this site.
Complete all parts 1.d-f, and 2-10.

Site ID Form
(continued)
2. Short-Term Generators
Mark “Yes” if the site is currently generating hazardous waste only as the result of a
one-time, non-recurring, temporary event that is not related to normal production
processes. In other words, short-term generators produce hazardous waste from a
particular activity for a limited time and then cease conducting that activity. Shortterm generators would not be considered episodic generators because episodic
generators have the potential to generate on a regular basis (for example, a facility
that fluctuates from SQG to LQG in one month is not a short-term generator).
Examples of short-term generators include: 1) one-time highway bridge waste
generation; 2) underground storage tank removals; 3) generation of off-spec or outof-date chemicals at a site that normally doesn’t generate hazardous waste; 4)
remediation or spill clean-up at sites with no previous RCRA ID; and 5) site or
production process decommissions by a new operator. If you mark “Yes”, you must
provide an explanation of your short-term generation event in Item 13 - Comments.
3. United States Importer of Hazardous Waste
Mark “Yes” if you import hazardous waste from a foreign country into the United
States. Refer to 40 CFR 262.60 for additional information.
4. Mixed Waste Generator
Mark “Yes” if you are a generator of mixed waste (waste that is both hazardous and
radioactive). RCRA defines “mixed waste” as waste that contains both hazardous
waste and source, special nuclear, or by-product material subject to the Atomic
Energy Act (AEA), RCRA Section 1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9,
1998). See the Definitions section.
5. Transporter of Hazardous Waste: If “Yes”, place an “X” in all that apply.
a. Transporter
You transport hazardous waste within the United States. The Federal
regulations for hazardous waste transporters are found in 40 CFR Part 263.
b. Transfer Facility (at your site)
You are a hazardous waste transfer facility, at your site, if you hold
manifested hazardous waste(s) at your site for a period of ten (10) days or
less while the waste is in transit. The Federal regulations for hazardous
waste transfer facilities are found in 40 CFR Part 263.12.
6. Treater, Storer, or Disposer of Hazardous Waste (at your site): If you treat,
store, or dispose of hazardous waste, mark “Yes”. A RCRA Hazardous Waste Part B
Permit is required for this activity. Contact the appropriate office for your State for
more information. The Federal regulations for owners and operators of permitted
treatment, storage, and disposal facilities (TSDFs) are found in 40 CFR Parts 264,
265, 266, and 270.
Mark “No” if any of the following conditions are true for your facility:
1. This facility does not receive hazardous waste from other generators and
ships all waste off-site for management within the regulatory timeframe.

Site ID Form
(continued)

2. This facility is only involved with on-going post-closure activities, corrective
actions under HSWA, or a consent order under a non-traditional permit or
without a RCRA permit being required.
3. Receives waste from off-site but does not store greater than 10 days before
re-shipping (i.e., transfer facility).

NOTE

If your site is a destination facility for universal wastes in addition to
being a treatment, storage, or disposal facility for other RCRA
hazardous wastes, mark “Yes” for both this box and Item 10.B.2.

7. Recycler of Hazardous Waste (at your site): If you recycle regulated hazardous
wastes (recyclable materials) at your site, mark “Yes”. The Federal regulations for
owners and operators of sites that recycle hazardous waste are found in 40 CFR
261.6. You also may be subject to other Federal and State regulations; in some cases
a permit is required.

NOTE

If your site, in addition to being a recycling site for hazardous waste,
is a treater, storer, or disposer of hazardous waste, mark “Yes” for
both this box and Item 10.A.6. If your site is a destination facility
for universal wastes in addition to being a recycling site for other
RCRA hazardous wastes, mark “Yes” for both this box and Item
10.B.2.

8. Exempt Boiler and/or Industrial Furnace (at your site): If “Yes”, place an “X” in
all that apply.
a. Small Quantity On-Site Burner Exemption
You burn small quantities of hazardous waste in an on-site boiler or
industrial furnace in accordance with the conditions in 40 CFR 266.108,
place an “X” in the box to indicate that you qualify for the Small Quantity
On-Site Burner Exemption.
b. Smelting, Melting, and Refining Furnace Exemption
You process hazardous wastes in a smelting, melting, or refining furnace
solely for metals recovery, as described in 40 CFR 266.100(d), or to recover
economically significant amounts of precious metals, as described in 40 CFR
266.100(g), or if you process hazardous wastes in a lead recovery furnace to
recover lead, as described in 40 CFR 266,100(h), place an “X” in the box to
indicate that you qualify for the Smelting, Melting, and Refining Furnace
Exemption.
9. Underground Injection Control (at your site): If you generate, treat, store, or
dispose of hazardous waste and place the waste or its residuals into an underground

Site ID Form
(continued)
injection well (e.g., a Class I well) located at your site, mark “Yes”. The Federal
regulations for owners and operators of underground injection wells are found in 40
CFR Part 148.
10. Receives Hazardous Waste From Off-site (at your site): If you received
hazardous waste from another site, whether this waste was received as a commercial
transaction or waste received from a restricted group of off-site generators, mark
“Yes”.
In addition to the above, mark “Yes” or “No” for the other regulated waste activities listed
below that may occur at this site. Complete Items B, C, and D as appropriate.
B. Universal Waste Activities (at your site): Refer to your State-specific requirements and
definitions for universal waste. Also, refer to 40 CFR 261.9 and 40 CFR Part 273 for the
Federal regulations covering universal waste. Complete parts 1 and 2.
1. Large Quantity Handler of Universal Waste (LQHUW): You are an LQHUW if
you accumulate a total of 5,000 kg or more total of universal wastes (batteries,
pesticides, mercury-containing equipment, or lamps - calculated collectively) at any
time. This designation is retained through the end of the calendar year in which the
5,000 kg limit is met or exceeded. If “Yes”, place an “X” in the appropriate box(es)
to indicate the type(s) of universal wastes managed at your site. If your State has
other additional universal wastes, indicate what they are by placing an “X” in the
corresponding box(es) (10.B.1.e, f, or g.).
2. Destination Facility for Universal Waste: Mark “Yes” if you treat, dispose, or
recycle universal wastes on-site. A hazardous waste permit is required if you treat or
dispose of universal wastes; a permit may be required if you recycle universal wastes.

NOTE

If your site, in addition to being a destination facility for universal
wastes, is also a treatment, storage, or disposal facility for RCRA
hazardous wastes, mark “Yes” for both this box and Item 10.A.6. In
addition, if your site recycles RCRA hazardous wastes, mark “Yes”
for both this box and Item 10.A.7.

C. Used Oil Activities: Mark the appropriate box(es) to indicate which used oil management
activities are taking place at this site. The Federal regulations for used oil management are
found in 40 CFR Part 279. Complete all parts 1 through 4.
1. Used Oil Transporter: If “Yes”, place an “X” in all that apply.
a. Transporter
You transport used oil within the United States. The Federal regulations for
used oil transporters are found in 40 CFR Part 279.40-47.
b. Transfer Facility (at your site)

Site ID Form
(continued)
You own or operate a used oil transfer facility. The Federal regulations for
used oil transfer facilities are found in 40 CFR Part 279.40-47.
2. Used Oil Processor and/or Re-refiner (at your site): If “Yes”, place an “X” in all
that apply.
a. Processor
You process used oil. The Federal regulations for processors of used oil are
found in 40 CFR Part 279.50-59.
b. Re-Refiner
You refine used oil. The Federal regulations for re-refiners of used oil are
found in 40 CFR Part 279.50-59.
3. Off-Specification Used Oil Burner (at your site): You burn off-specification used
oil fuel, mark “Yes” to indicate this used oil management activity.
4. Used Oil Fuel Marketer (at your site): If “Yes”, place an “X” in all that apply.
a. Marketer Who Directs Shipment of Off-Specification Used Oil to OffSpecification Used Oil Burners
You are a marketer who directs shipment of off-specification used oil to offspecification used oil burners. The Federal regulations for off-specification
used oil are found in 40 CFR Part 279.70-75.
b. Marketer Who First Claims the Used Oil Meets the Specification
You are the first to claim that used oil meets the used oil specification
established in 40 CFR 279.11.

NOTE

If either of these boxes is marked, you must also notify (or have
previously notified) as a used oil transporter, used oil processor/rerefiner, or off-specification used oil fuel burner, unless you are a
used oil generator. (Used oil generators are not required to notify.)

D. Eligible Academic Entities with Laboratories – Notification for opting into or
withdrawing from managing laboratory hazardous wastes pursuant to 40 CFR Part 262
Subpart K: Note: Fill out Box D ONLY if you are at least one of the following: a college
or university; a teaching hospital that is owned by or has a formal written affiliation
agreement with a college or university; or a non-profit research institute that is owned by or
has a formal written affiliation agreement with a college or university; AND you have
checked with your State to determine if 40 CFR Part 262 Subpart K is effective in your state
and for any state-specific requirements. (See EPA’s website for more information about these
regulations: http://www.epa.gov/wastes/hazard/generation/labwaste/implementation.htm.)
Subpart K is an optional alternative set of requirements for eligible academic entities with
laboratories. Certain generators (i.e., eligible academic entities defined under (1) below) are
eligible to operate under Subpart K for management of their hazardous wastes in laboratories
in lieu of 40 CFR 262.34(c) (or 40 CFR 261.5 for CESQGs). Eligible academic entities with

Site ID Form
(continued)
laboratories that generate hazardous waste that elect to opt into Subpart K, are currently
operating under Subpart K, or subsequently withdraw from Subpart K must complete this
section to meet the notification requirements of this Subpart. Refer to 40 CFR 262.203 and
262.204.

NOTE

Eligible academic entities with laboratories must complete a separate Site ID
Form for each site (i.e., EPA ID number) that is managing hazardous waste
under Subpart K. All laboratories with the same EPA ID number will be
regulated under this Subpart. If eligible academic entities with laboratories
withdraw from Subpart K, all laboratories with the same EPA ID number
associated with the withdrawal from Subpart K will be regulated under 40
CFR 262.34(c) requirements (or 40 CFR 261.5 for CESQGs).

1. Opting Into or Currently Operating Under 40 CFR Part 262 Subpart K for the
Management of Hazardous Wastes in Laboratories: Mark “Yes” for this box if you
are an eligible academic entity and you elect to opt into or are currently operating under
40 CFR Part 262 Subpart K for the hazardous wastes generated in your laboratories. If
you mark “Yes” for this box, you must place an “X” in at least one of the following to
indicate your type of eligible academic entity. Place an “X” in all that apply:
a. College or University. You are an eligible college or university if you are a
private or public, post-secondary, degree-granting, academic institution, that
is accredited by an accrediting agency listed annually by the U.S. Department
of Education.
b. Teaching Hospital that is owned by or has a formal written affiliation
agreement with a college or university: You are an eligible teaching
hospital if you are a hospital that trains students to become physicians,
nurses, or other health personnel and is either: (1) owned by a college or
university, or (2) has a master affiliation agreement and program letter of
agreement, as defined by the Accreditation Council for Graduate Medical
Education, with an accredited medical program or medical school.
c. Non-profit Institute that is owned by or has a formal written affiliation
agreement with a college or university: You are an eligible non-profit
institute if you are an organization that conducts research as its primary
function and files as a non-profit organization under the tax code of 26
U.S.C. 501(c)(3) and is either: (1) owned by a college or university, or (2)
has a formal written affiliation agreement with a college or university that
establishes a relationship between institutions for the purposes of research
and/or education and is signed by authorized representatives from each
institution. A relationship on a project-by-project or grant-by-grant basis is
not considered a formal written affiliation agreement.
2. Withdrawing from 40 CFR Part 262 Subpart K for the Management of Hazardous
Wastes in Laboratories: Mark “Yes” for this box if you have previously elected to opt
into 40 CFR Part 262 Subpart K and are now withdrawing from participation in this
optional set of alternative requirements for hazardous waste generation in laboratories.

Site ID Form
(continued)
Withdrawing generators will automatically revert to regulation under 40 CFR 262.34 (c)
requirements (or 40 CFR 261.5 for CESQGs). If marking “Yes” for this box, please
include comments in Section 13 that explain your reasons for withdrawing from Subpart
K.
Item 11 – Description of Hazardous Wastes
Complete this item if you marked “Yes” for any activity 1 (a-c), 6, 7, or 8 in Item 10.A You will need to
refer to 40 CFR Part 261 to complete this item. Part 261 identifies those solid wastes which the EPA
defines as hazardous and regulates under RCRA. If you need help completing this section, please contact
your State Office.
A. Waste Codes for Federally Regulated Hazardous Wastes: Please list the waste codes of
the Federal hazardous wastes (described in 40 CFR Part 261) handled at your site. List them
in the order they are presented in the regulations using the appropriate 4-digit code(s) (e.g.,
D001, D003, F007, U112).

NOTE

EPA Hazardous Waste Codes. If you handle more hazardous wastes than
will fit under Item 11.A, please continue under Item 13 – Comments or on an
extra sheet. Remember to include your EPA Identification Number on the
top of each page. If you handle a large number of codes, you may copy the
list in this booklet and mark the ones that you handle. Attach any additional
sheets to the Site ID Form. Remember to include your EPA Identification
Number on the top of each page.

B. Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes: If you manage
State-regulated hazardous wastes that have a State waste code, enter the appropriate code(s)
in the box(es) provided. Please list the waste codes of the State-regulated hazardous wastes
handled at your site in the order they are presented in the regulations.

NOTE

State Hazardous Waste Code. If you handle more hazardous wastes than will
fit under Item 11.b, please continue under Item 13 – Comments or on an
extra sheet. Remember to include your EPA Identification Number on the
top of each page.

Item 12 – Notification of Hazardous Secondary Material (HSM) Activity
Mark “Yes” if you are notifying under 40 CFR 260.42 that you will begin managing, are still managing,
or will stop managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23),
(24), or (25). Mark “No” if you are not notifying under 40 CFR 260.42. Note: You must check with
your State to determine if you are eligible to manage hazardous secondary material under these
regulations.
NOTE

If you mark “Yes”, you must fill out the Addendum to the Site ID Form: Notification of
Hazardous Secondary Material Activity. See instructions for this Addendum after Item 14.

Site ID Form
(continued)
Item 13 – Comments
Use this section as needed to provide additional information for Items 1 through 12. Include the item
number and box letter (if any) for each comment you make. You may attach additional sheets if needed.
Remember to include your EPA Identification Number on the top of each page.
Item 14 – Certification
This certification must be signed and dated by the owner(s), operator(s), responsible official(s), or
authorized representative(s) of the site. (See 40 CFR 270.11 for more information on signatories in
general. See also 40 CFR 270.10(b) for additional Hazardous Waste Part A Permit Application signatory
specifics.) An “authorized representative” is a person responsible for the overall operation of the site (i.e.,
a plant manager or superintendent, or a person of equal responsibility).
NOTE

All Site ID Form submissions must include this certification to be complete.

Addendum to the Site ID Form

ADDENDUM TO THE SITE IDENTIFICATION FORM: NOTIFICATION
OF HAZARDOUS SECONDARY MATERIAL ACTIVITY
You Must Fill Out This Section If:

You are located in a State that allows you to manage excluded hazardous secondary material
under 40 CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), or (25). See
http://www.epa.gov/epawaste/hazard/dsw/statespf.htm for a list of eligible states; AND

You will begin managing, are still managing, or will stop managing excluded hazardous
secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) and must
notify the appropriate State or Regional Office of your activities, pursuant to 40 CFR 260.42.
These regulations exclude certain hazardous secondary material being reclaimed from the RCRA
Subtitle C definition of solid waste provided certain requirements and conditions are met. See
EPA’s website for more information about these regulations:
http://www.epa.gov/epawaste/hazard/dsw/rulemaking.htm#2008.
Complete all parts 1-3.

You must be managing excluded hazardous secondary material in compliance with 40
CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), and/or (25) (or state equivalent). Do not include
any information regarding your hazardous wastes in this section. See 73 FR 64668 or
http://www.epa.gov/epawaste/hazard/dsw/impresource.htm for more information on these
exclusions.
You must submit a completed Site ID Form, including this Addendum, prior to operating
under the exclusion(s) and by March 1 of each even-numbered year thereafter to your
regulatory authority using the Site ID Form as pursuant to 40 CFR 260.42. Persons who
must satisfy this notification requirement can submit this information at the same time as
their Biennial Report (which is also due by March 1 of each even-numbered year).

NOTE

If you stop managing hazardous secondary material in accordance with the exclusion(s)
and do not expect to manage any amount of hazardous secondary material under the
exclusion(s) for at least one year, you must also submit a completed Site ID Form,
including this Addendum, within thirty (30) days pursuant to 40 CFR 260.42.
Remember to include your EPA Identification Number on the top of each page.
Item 1 – Indicate Reason for Notification (include dates where requested):
Place an “X” in the box for the reason that applies to you:
•

Facility will begin managing excluded hazardous secondary material as of
(mm/dd/yyyy): Place an “X” in this box if you are notifying that you will begin managing
hazardous secondary material under the exclusion(s).

Facilities must notify prior to operating under the exclusion(s).

Addendum to the Site ID Form

•

If placing an “X” in this box, list the date (mm/dd/yyyy) when you will begin
managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR
261.4(a)(23), (24), or (25). Note: If the facility had previously notified that it will
stop managing hazardous secondary material in the past but will now begin anew, list
the next planned start date.

Facility is still managing excluded hazardous secondary material/re-notifying as
required by March 1 of each even-numbered year: Place an “X” in this box if you are
re-notifying that you are still managing hazardous secondary material under the
exclusion(s). Note: you must have previously notified that you began managing hazardous
secondary materials in order to check this box.

Facilities must notify by March 1st of each even-numbered year.

If placing an “X” in this box, you do not have to list a date.

Facility has stopped managing excluded hazardous secondary material as of
(mm/dd/yyyy) and is notifying as required: Place an “X” in this box if you are notifying
that you have stopped managing hazardous secondary material under the exclusion(s) and
do not expect to manage any amount of hazardous secondary material for at least one year
(pursuant to 40 CFR 260.42(b)). List the date when you stopped managing hazardous
secondary material. Enter the date in “mm/dd/yyyy” format.

Facilities must notify within 30 days of when they stopped managing hazardous
secondary material. You are considered to have stopped managing hazardous
secondary material if: 1) you stop managing hazardous secondary material completely
(e.g., you cease operations); 2) you choose to manage the hazardous secondary
material as hazardous waste; 3) you undergo closure and request release from financial
assurance per 40 CFR 261.143(h); or 4) you temporarily suspend management of
hazardous secondary material for at least one year.

Only place an “X” in this box if you have stopped managing all hazardous secondary
material under the exclusion(s). For example, if your facility only stopped managing
one hazardous secondary material, but continued to manage another hazardous
secondary material, you would leave this box blank since your facility continues to
manage some amount of hazardous secondary material.

If you submit a notification that you have stopped managing hazardous secondary
material, you do not need to renotify (unless you choose to manage hazardous
secondary material again, in which case you would have to submit a notification prior
to managing). After submitting a stop notification, you can leave the Addendum
blank for subsequent submissions, including any subsequent biennial report
submissions.

Item 2 – Description of Excluded Hazardous Secondary Material (HSM) Activity
In the table provided on the Addendum to the Site ID Form, list your appropriate facility code, each waste
code for the hazardous secondary material you manage, the estimated and actual quantities in short tons
for each hazardous secondary material, and the appropriate land-based unit code for how you mange the
hazardous secondary material. Do not include any information regarding your hazardous wastes in this
section. See examples below on how to answer this question.

Addendum to the Site ID Form

a. Facility Code: Using the facility codes, found in the Code List section of these
instructions, enter the appropriate 2-digit code(s) that correctly describes your facility. If
more than one code applies to your facility, enter each 2-digit code on a separate row.
Each hazardous secondary material should be reported by facility code.
b. Waste Codes(s) for HSM: Use the box provided to enter the appropriate 4-digit
hazardous waste code(s) that would apply to your hazardous secondary material if you
managed it as hazardous waste (i.e., the waste code(s) that would apply if you did not
manage your material in accordance with 40 CFR 261.2(a)(2)(ii), 40 CFR
261.4(a)(23),(24), or (25)).

NOTE

If you list more codes or manage more hazardous secondary material than
will fit in the table under Item 2, please continue under Item 13 –
Comments, or on an extra sheet. Remember to include your EPA ID
number on the top of each page.

Estimated Short Tons of Excluded HSM to be Managed Annually: In the box
provided, enter your estimated tonnage (using short tons) of hazardous secondary material
you expect to manage annually. Convert all physical quantities (e.g., gallons, cubic yards,
kilograms, metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the
nearest ton (no decimals). Note: Your estimated tonnage should be for the entire amount
of hazardous secondary material to be reclaimed (NOT just the quantity of constituent or
product reclaimed).

d. Actual Short Tons of Excluded HSM Managed During the Most Recent OddNumbered Year: Report the tonnage (using short tons) of each hazardous secondary
material you actually managed during the most recent odd-numbered year. For example, if
you are submitting this notification on February 20, 2012, enter the amount you actually
managed during 2011 (i.e., the tonnage you managed from January 1, 2011 to December
31, 2011). Convert all physical quantities (e.g., gallons, cubic yards, kilograms, metric
tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton (no
decimals). Note: Your actual tonnage should be for the entire amount of hazardous
secondary material that was sent for reclamation (NOT just the quantity of constituent or
product reclaimed). If this is your initial notification, enter “0”.
e.

Land-Based Unit Code: Using the land-based unit codes, found in the Code List section
of these instructions, enter in the 2-digit code that best describes the land-based unit you
use or will use to manage the hazardous secondary material. If you do not use any landbased units, enter “NA”. If you use the code “OT” (Other), please describe your landbased unit in Item 13 – Comments. If more than one land-based unit code applies to a
hazardous secondary material, list it separately using another row.

Addendum to the Site ID Form

Examples for Reporting Hazardous Secondary Material Activity:
EXAMPLE 1: A pharmaceutical manufacturer generates spent solvents that are characteristic for
ignitability (D001). The manufacturer plans to manage spent solvents under 40 CFR 261.2(a)(2)(ii) and
261.4(a)(24) by sending some amount to a reclaimer within its own company and the rest off-site to a
reclamation facility within the United States. The manufacturer will not manage any spent solvents in a
land-based unit. Following the regulations, the manufacturer submits an initial notification prior to
managing its spent solvents under the exclusions. The facility would report its hazardous secondary
material activity as follows:
a. Facility code
(answer using codes
listed in the Code List
section of the
instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated
short tons of
HSM to be
managed
annually

d. Actual short tons
of HSM that was
managed during the
most recent oddnumbered year

e. Land-based unit
code (answer using
codes listed in the
Code List section of
the instructions)

02
06

D001
D001

15
40

0
0

NA
NA

EXAMPLE 2: A steel manufacturer generates electric arc furnace dust and spent pickle liquor from one
of its steel operations. The manufacturer sends electric arc furnace dust (K061) off-site to a reclamation
facility within the U.S. and reclaims spent pickle liquor (K062) on-site. Neither hazardous secondary
material is managed in a land-based unit. The steel manufacturer has managed both hazardous secondary
material under 40 CFR 261.2(a)(2)(ii) and 261.4(a)(24) for a number of years and it is now time to renotify. The facility would report its hazardous secondary material activity as follows:
a. Facility code
(answer using codes
listed in the Code List
section of the
instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated
short tons of
HSM to be
managed
annually

d. Actual short tons
of HSM that was
managed during the
most recent oddnumbered year

e. Land-based unit
code (answer using
codes listed in the
Code List section of
the instructions)

01
06

K062
K061

60
20,000

52
22,468

NA
NA

EXAMPLE 3: A reclamation facility has been receiving and reclaiming spent solvents under 40 CFR
261.2(a)(2)(ii) and 261.4(a)(24) for a number of years. The facility receives and reclaims spent solvents
from multiple hazardous secondary material generators, some of which are within the same company. No
spent solvents are managed in a land-based unit. It is now time to re-notify. The facility would report its
hazardous secondary material activity as follows:
a. Facility code
(answer using codes
listed in the Code List
section of the
instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated
short tons of
HSM to be
managed
annually

d. Actual short tons
of HSM that was
managed during the
most recent oddnumbered year

e. Land-based unit
code (answer using
codes listed in the
Code List section of
the instructions)

03
03
07
07

D001;F002;F003;F005
D001;D038;F002;F003
D001;F002;F003;F005
D001;D038;F002;F003

6,000
1,500
3,000
1,000

7,533
918
3,509
523

NA
NA
NA
NA

Addendum to the Site ID Form

EXAMPLE 4: A smelting operation generates furnace bricks that are characteristic for chromium
(D007) and sends them off-site for reclamation. Before shipping the bricks off-site, the facility manages
some of the bricks in a containment building and the rest in a pile on the land. The facility has been
managing the bricks under 40 CFR 261.4(a)(24) for a number of years and must now re-notify. The
facility would report its activity as follows:
a. Facility code
(answer using codes
listed in the Code List
section of the
instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated
short tons of
HSM to be
managed
annually

d. Actual short tons
of HSM that was
managed during the
most recent oddnumbered year

e. Land-based unit
code (answer using
codes listed in the
Code List section of
the instructions)

06
06

D007
D007

200
115

235
126

NA
PL

EXAMPLE 5: An intermediate facility has been managing wastewater treatment sludges from
electroplating operations (F006) for the past seven years but, due to company consolidation, it will soon
shut down. In accordance with 40 CFR 260.42, the facility notifies that it will stop managing hazardous
secondary material. The facility would report its activity as follows:
a. Facility code
(answer using codes
listed in the Code List
section of the
instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated
short tons of
HSM to be
managed
annually

d. Actual short tons
of HSM that was
managed during the
most recent oddnumbered year

e. Land-based unit
code (answer using
codes listed in the
Code List section of
the instructions)

F006

5,034

Item 3 – Facility has Financial Assurance Pursuant to 40 CFR 261.4(a)(24)(vi)
Financial assurance is required for reclaimers (07, 11) and intermediate (08) facilities managing
hazardous secondary material under 40 CFR 261.4(a)(24) and (25). See EPA’s website for more
information about these regulations: http://www.epa.gov/epawaste/hazard/dsw/impresource.htm.
•

Mark “Yes”, if you have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi) AND
you use at least one facility code that is 07, 08, or 11 in Item 2.a above. For example, the
facilities in Examples 3 and 5 above are required to have financial assurance because the
facility codes are 07 and 08, respectively.

•

Mark “No”, if you do NOT have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi).
Note: Reclaimers (07, 11) and intermediate (08) facilities must have financial assurance
in order to manage hazardous secondary material under 40 CFR 261.4(a)(24) and (25).
Answering “No” to this question may mean you are in violation of these regulations if you
report facility codes 07, 08, or 11. For example, the facilities in Examples 1, 2, and 4
above are not required to have financial assurance because these facilities did not report
facility codes of 07, 08, or 11.

INSTRUCTIONS FOR FILLING OUT THE GM FORM – WASTE
GENERATION AND MANAGEMENT
Who Must Submit this Form
A site required to file the 2011 Hazardous Waste Report must submit a GM Form if the site generated
RCRA hazardous waste that, in 2011, was accumulated on-site; managed on-site in a treatment, storage,
or disposal unit; and/or shipped off-site for management, consistent with the criteria below. (See Wastes
to be Reported, below, for specific instructions on generated RCRA hazardous wastes that should be
reported on the GM Form. See Wastes Not to be Reported, below, for any exclusions or exemptions
from the GM Form reporting requirements under the 2011 Hazardous Waste Report.)

Purpose of this Form
The GM Form is for reporting on-site hazardous waste generation and management in 2011. The GM
Form is divided into three sections that document 1) the source, characteristics, and quantity of hazardous
waste generated; 2) the quantity of hazardous waste managed on-site along with the management method
used; and 3) the quantity of hazardous waste shipped off-site for treatment, disposal, or recycling along
with the off-site management method used.

How to Fill out this Form
Make and submit a photocopy of the GM Form for each generated RCRA hazardous waste that should be
reported, consistent with the criteria discussed below. Prior to photocopying, place the pre-printed site
identification label in the top left-hand corner of the form or, if you did not receive pre-printed labels,
enter the site name and EPA Identification Number in this space.
Use the Comments section at the end of the form to clarify any entry (e.g., “Other” responses) or to
continue any entry. When entering information in the Comments section, cross-reference the section
number and item letter to which the comment refers.

Please review your previous cycle’s GM source, form, and management method codes to
see if they are still applicable. If applicable, use those same codes for consistency.
NOTE

Refer to the Special Instructions for reporting lab packs, asbestos, PCBs, waste oils,
groundwater contaminated by hazardous waste, RCRA-radioactive mixed wastes, and
laboratory clean-out wastes.

Wastes to be Reported
In general, each generated RCRA hazardous waste that is used to determine the site’s generator status
should be reported on the GM Form. (See Wastes Not to be Reported, below, for any exclusions or
exemptions from the GM Form reporting requirements under the 2011 Hazardous Waste Report.)

GM Form
(continued)
A GM Form must be submitted for each generated RCRA hazardous waste. Hazardous waste must be
reported if it was:
•

Generated and accumulated on-site and subsequently managed on-site or shipped off-site in 2011;
or

•

Generated and accumulated on-site in 2011 but not managed on-site or shipped off-site until after
2011; or

•

Generated and accumulated on-site prior to 2011 but either managed on-site or shipped off-site in
2011; or

•

Imported from a foreign country in 2011.

Examples of RCRA hazardous wastes to be reported include those that were:
•

Generated on-site from a production process, service activity, or routine cleanup.

•

Generated from equipment decommissioning, spill cleanup, or remedial cleanup activity.

•

Removed from on-site storage.

•

Derived from the management of non-hazardous waste.

•

Derived from the on-site treatment (including reclamation), disposal, or recycling of previously
existing hazardous waste (as a residual).

•

Shipped off-site, including hazardous waste that was received from off-site (reported on the
Waste Received From Off-site Form [WR Form]) and subsequently shipped off-site without
being treated or recycled on-site.

•

Radioactive wastes mixed with RCRA hazardous wastes should also be reported; be sure to mark
“Yes” on the Site Identification Form in Item 10.A.1.f. See the definitions and the special
instructions regarding this waste.

•

Hazardous wastes regulated only by your State should be reported if required by your State.

Wastes Not to be Reported
RCRA hazardous wastes exported directly to a foreign country should not be reported on the GM Form
(unless required by your state). Facilities that export hazardous waste must file a separate Annual
Report under 40 CFR 262.56. (This Annual Report will be in addition to the Hazardous Waste Report, if
your state requires you to submit a Hazardous Waste Report.)

In addition, materials and wastes identified at 40 CFR 261.2(a)(2)(ii) and 261.4(a) and (b) and 261.5(c)
should not be reported on the GM Form. Section 261.4(a) and (b) identify materials and solid wastes
that do not qualify as solid or hazardous wastes, respectively. Section 261.5(c) identifies hazardous
wastes that should not be included in a site’s generator status determination, even if these hazardous
wastes were generated at the site.

GM Form
(continued)

Following are the materials and wastes addressed under 40 CFR 261.4(a) and (b) and 261.5(c), which
should not be reported on the GM Form:
•

Materials which are excluded from being a solid waste, e.g., any mixture of domestic sewage and
other wastes that passes through a sewer system to a publicly owned treatment works (unless they
are stored or treated in regulated units prior to being discharged). (40 CFR 261.4(a))

•

Solid wastes that are excluded from being hazardous waste, e.g., petroleum-contaminated media
and debris that fail the test for the toxicity characteristic (waste codes D018 through D043 only)
and are subject to the corrective action regulations under 40 CFR Part 280. (40 CFR 261.4(b))

•

Waste exempt from regulation because the waste has not exited the raw material storage or
production unit yet, as specified in 261.4(c). (40 CFR 261.5(c)(1))

•

Hazardous waste that has been collected as a sample(s) for the purpose of determining its
characteristic or composition, as specified in 261.4(d). (40 CFR 261.5(c)(1))

•

Sample(s) undergoing treatability studies, as specified in 261.4(e). (40 CFR 261.5(c)(1))

•

Sample(s) undergoing treatability studies at the laboratory or testing facility, as specified in
261.4(f). (40 CFR 261.5(c)(1))

•

Hazardous waste that is a specified recyclable material such as ethyl alcohol or scrap metal, as
specified in 261.6(a)(3). (40 CFR 261.5(c)(1))

•

A residue of hazardous waste in an empty container or in an inner liner removed from an empty
container, as specified in 261.7(a)(1). (40 CFR 261.5(c)(1))

•

PCB wastes regulated under the Toxic Substance Control Act, as specified in 261.8, unless mixed
with a hazardous waste. (40 CFR 261.5(c)(1))

Wastes managed immediately upon generation only in on-site elementary neutralization units, wastewater
treatment units, or totally enclosed treatment facilities as defined in 40 CFR 260.10. (40 CFR
261.5(c)(2)) Any hazardous waste residues generated from these units, however, must be reported
on the GM Form. (For additional information, see the guidance document “Biennial Report: Reportable
and Non-Reportable Wastes” at

http://www.epa.gov/epawaste/inforesources/data/biennialreport/index.htm.)
•
•

Wastes recycled, without prior storage, only in an on-site process subject to regulation under 40
CFR 261.6(c)(2). (40 CFR 261.5(c)(3)) Any hazardous waste residues generated from these
units, however, must be reported on the GM Form.

•

Used oil that is recycled and is also a hazardous waste solely because it exhibits a hazardous
waste characteristic and is managed under 40 CFR Part 279. (40 CFR 261.5(c)(4))

•

Spent lead-acid batteries managed under the requirements of 40 CFR Part 266, Subpart G, which
includes persons who reclaim spent lead-acid batteries that are recyclable materials; persons who
generate, transport, or collect spent batteries; persons who regenerate spent batteries; or persons
who store them (other than spent batteries that are to be regenerated). (40 CFR 261.5(c)(5)) Any

GM Form
(continued)
hazardous wastes generated during battery reclamation, however, must be reported on the
GM Form.
•

Universal wastes managed under 40 CFR 261.9 and 40 CFR Part 273. (40 CFR 261.5(c)(6))
Any hazardous waste residues generated from these units, however, must be reported on
the GM Form.

•

Unless required by your state, hazardous wastes that were, during 2011, all exported directly
out of the United States to a foreign country. An Annual Report must be filed in this case as
required under 40 CFR 262.56. (This Annual Report will be in addition to the Hazardous Waste
Report, if your state requires you to submit a Hazardous Waste Report.)

How to Report Similar Wastes on the GM Form
Generally, a GM Form should be completed for each generated RCRA hazardous waste. Contact your
State about combining and reporting similar hazardous wastes on the GM Form.

GM Form
(continued)

Item-By-Item Instructions
Section 1 – Waste Characteristics
Section 1 requests information on each RCRA hazardous waste that, in 2011, was generated and
accumulated on-site; managed on-site; and/or shipped off-site.
All items in this section are mandatory. Note: Either Item B and/or Item C must be provided for
each waste stream.
Item A – Waste Description
Provide a short narrative description of the waste, such as:
•
•
•
•

General type;
Source;
Type of hazard; and
Generic chemical name or primary hazardous constituents.

Example: “Ignitable spent solvent from degreasing operation in tool production; mixture of mineral
spirits and kerosene.”
In the example, note that the general type (spent solvent), source (degreasing operation in tool
production), type of hazard (ignitability), and generic chemical names (mineral spirits and kerosene) have
all been cited.
Item B – EPA Hazardous Waste Code(s)
Enter the four-character EPA hazardous waste code(s) that applies to the waste reported in Section 1, Item
A. EPA hazardous waste codes are provided in the “Other Reference Information” section of this
booklet. If you need room for additional codes, list the codes in the Comments section and crossreference Section 1, Item B. If fewer than six EPA hazardous waste codes are applicable, leave the
remaining spaces blank. If the waste is regulated only by your State, leave Item B blank and report the
State hazardous waste codes in Item C.

LIST

For a list of EPA Hazardous Waste Codes, see the “Other Reference Information” section
of this booklet.

Item C – State Hazardous Waste Code(s)
Enter the State hazardous waste code(s) that applies to the waste reported in Section 1, Item A, if:
•

Your State regulates hazardous wastes not regulated as RCRA hazardous waste and requires these
wastes to be reported in the 2011 Hazardous Waste Report; or

•

Your State uses a hazardous waste code system other than the EPA hazardous waste codes that
applies to the waste described in Section 1, Item A.

Otherwise, leave Section 1, Item C blank. If you need space for additional State hazardous waste codes,
list the codes in the Comments section and cross-reference Section 1, Item C.

GM Form
(continued)
Item D – Source Code and Management Method Code for Source Code G25
Enter the Source Code that best describes how the hazardous waste reported in Section 1, Item A
originated. If the hazardous waste was mixed with other non-hazardous materials, report the Source Code
for only the hazardous waste portion.
If your site is a U.S. Importer, provide the appropriate Source Code for hazardous waste imported from a
foreign country. Also, mark “Yes” on the Site ID Form, Item 10.A.3 – United States Importer of
Hazardous Waste. Review the Special Instructions for wastes received from foreign countries.

LIST

NOTE

For a list of Source and Management Method Codes, see the “Other Reference
Information” section of this booklet.

•

If reporting Source Code G25 (Hazardous Waste Management), you also need to
provide the Management Method Code. Source Code G25 indicates that this waste
was generated from a hazardous waste management system described on a
separate GM Form or WR Form. Enter the same Management Method Code that
is listed on the matching GM Form – Section 2, or on the matching WR Form –
Item H, linking this waste with the on-site process that created it. Do not report
H141 in this Section 1- Item D.

•

If reporting Source Code G61 (Hazardous waste received from off-site for
storage/bulking and transfer off-site for treatment or disposal), the generation
amount must be zero (0) in Section 1, Item F.

•

Source Code G17 (Subpart K laboratory waste clean-out) is for facilities that have
opted into the Subpart K Academic Laboratory Waste Rule to report the amount of
laboratory waste shipped or managed during clean-out. The generation amount
must be zero (0) in Section 1, Item F for this source code. See the Special
Instructions for additional information.

Item E – Form Code
Review the Form Codes and enter the code that best corresponds to the physical form or chemical
composition of the hazardous waste reported in Section 1, Item A.
LIST

For a list of Form Codes, see the “Other Reference Information” section of this booklet.

GM Form
(continued)
Item F – Quantity Generated in 2011 / UOM and Density
Enter the total quantity of the hazardous waste described in Section 1, Item A that was generated during
2011. Right justify the quantity entry.
Enter the Unit of Measure (UOM) code for the quantity you reported in Section 1, Item F. Report the
quantity in one of the units of measure listed below. If you select a volumetric measure (gallons, liters,
or cubic yards), you must also report the density of the waste.
Code
1
2
3
4
5
6
7

Weight and Volume Conversions

Unit of Measure
Pounds
Short tons (2,000 pounds)
Kilograms
Metric tons (1,000 kilograms)
Gallons
Liters
Cubic yards

1 kilogram (kg)= 2.2046 pounds (lb)
1 short ton= 2,000 lb
1 metric ton= 1,000 kg
1 metric ton= 1.1023 short tons
1 cubic meter (m)= 1.3079 cubic yards
1 cubic yard (yd) = 27 cubic feet (ft)
1 liter (l)= 0.2642 gallons (gal)

Skip to Section 1, Item G if you selected code 1, 2, 3, or 4.
Continue to Density if you selected code 5, 6, or 7.

Report the density only if you entered code 5, 6, or 7 for the unit of measure. Provide the density in either
pounds per gal (lbs/gal) or specific gravity (sg) and place an “X” in the appropriate box to indicate which
measure was used.
Item G – Waste Minimization Code
40 CFR 262.41(a)(6), 264.75(h), and 265.75(h) requires that data be collected for waste minimization
activities. Enter the code that best corresponds to waste minimization, recycling, or pollution prevention
efforts implemented to reduce the volume and toxicity of the hazardous waste reported in Section 1, Item
A. This waste minimization activity must have occurred during this reporting cycle. If minimization was
not attempted (to the point of implementing a change) for this waste, you must enter an “X” (no waste
minimization efforts were implemented for this waste) for this item.

LIST

For a list of Waste Minimization Codes and definition for waste minimization, see the
“Other Reference Information” section of this booklet.

Section 2 – On-site Generation and Management of Hazardous Waste During 2011
Answering “Yes” or “No” to this question is mandatory. If you answer “Yes”, for each on-site RCRAregulated management system, you must report the management method and quantity treated, disposed,
or recycled on-site during 2011.
Was any of this waste that was generated at this facility treated, disposed, and/or recycled on-site?
Mark “Yes” or “No” to this question to indicate if the site did any of the following to the waste reported
in Section 1, Item A: treat on-site; dispose on-site; recycle on-site. If you marked “Yes,” complete the
blocks for On-site Process Systems below. If you marked “No,” skip to Section 3.

GM Form
(continued)

Example: Facility A generates spent solvents that it recycles on-site in a distillation column. This facility
would mark “Yes” in Section 2 and would fill out the on-site process system box accordingly.
Example: Facility B receives spent solvents from off-site and blends the solvents into fuel. The facility
then sends the fuels off-site to be burned for energy recovery. Facility B would report on its
GM form the new waste generated in Section 1, Item D as Source Code G25 (“Hazardous
waste management”) with the management method code of H061 (“Fuel blending”). Facility B
would mark “No” in Section 2 because it did not manage any of the newly generated fuels onsite. This facility would report the off-site shipment in Section 3 and would report the
Management Method Code H050 (“Energy recovery”).
On-Site Management Method Code
Classify the process system (see definition) with a Management Method Code that best identifies the last
substantive purpose/operation performed at your site. Space is provided to report up to two different (nonsequential) Management Methods. If you did not use a second on-site process system to manage the
waste, leave the Management Method Code under On-site Process System 2 blank. Do not report H141
in this Section 2.

LIST

For a list of Management Method Codes, see the “Other Reference Information” section of
this booklet.

The space provided for the second on-site process system should be used only in the special case of
management of the same waste on-site by more than one process system during 2011. Use the second onsite process system only when:
•

A waste is managed in one process system for a part of a year and in another process system for
the rest of the year; or

•

A waste is managed by two different process systems at the same time (i.e., management of the
waste is split between parallel process systems).

Example of Non-Sequential A firm generated 100 tons of F002 solvent waste in 2011. Eighty (80) tons
(Parallel) Processes:
were recycled for reuse in a batch distillation process system, generating 5
tons of still bottoms. The remaining 20 tons were burned in an industrial
boiler. Under On-site Process System 1, the site enters the Management
Method Code for distillation (H020) and a quantity of 80 tons. Under Onsite Process System 2, the site enters the Management Method Code for
energy recovery of liquids (H050) and a quantity of 20 tons. The 5 tons of
still bottoms should be reported on a separate GM Form.
If more than two on-site process systems meet one of the above conditions, you need not complete the
entire form again. Simply attach a second copy of the GM Form with the EPA ID number and Site Name.
Leave all the other fields blank except Section 2 for on-site process systems. Note in the Comments
section of each page: “Section 2, On-site Process System Type continued on supplemental page.” (Refer
to instructions on page numbering of supplemental pages.)
The space provided for the second on-site process system should not be used to report the following:

GM Form
(continued)
•

The on-site management of the treatment residual generated from management of the waste by
the first management method (on-site management of treatment residuals should be reported on a
separate GM Form); or

•

To report treatment in a series of process units (see definition in the Other Reference
Informaiton). Report only process systems, not process units.

Example of Sequential
Processes:

A firm generated 100 tons of D002 and D007 plating waste in 2011. 100
tons were neutralized, stored on-site, and then chemically batch-treated to
remove the D007 Chromium. Ninety (90) tons of wastewater and 10 tons
of D007 and F006 sludge were shipped off-site for eventual disposal.
Under On-site Process System 1, the site enters the final substantive onsite Management Method Code for Chemical Treatment (H070) and a
quantity treated of 100 tons. The site reports the residual 10 tons of sludge
on a separate GM Form with Section 1 Item D Management Method Code
of H070. (If there was no storage and the wastewater had been allowed to
go into the POTW or NPDES, this page would not be reported, only the
D007 and F006 sludge - with a source code of G23.)

Quantity Treated, Disposed, or Recycled On-site in 2011
Enter the quantity of hazardous waste described in Section 1 that was treated, disposed, or recycled by the
reported on-site process management method during 2011. Enter the quantity in the same unit of
measure reported in Section 1, Item F (Quantity generated in 2011).
Section 3 – Off-site Shipment of Hazardous Waste
This section requests information on the off-site shipment of hazardous waste. Answering “Yes” or “No”
to this question is mandatory. If you answer “Yes”, all items in this section are mandatory. Do report
shipments of previously generated hazardous wastes stored until 2011. Do report waste shipped via
transfer facility. Do not report shipments of de-characterized wastes.
Space is provided to report shipments of the waste to three different off-site facilities. If the waste you
reported in Section 1 was shipped to more than three off-site facilities during 2011, you need not
complete the entire form again. Simply attach a second copy of the GM Form, leaving blank all entries
except Section 3, Items B, C, and D. Note in the Comments section of each page: “Section 3, Item B
continued on supplemental page.” (Refer to instructions on page numbering of supplemental pages.)
Item A – Was any of this Waste Shipped Off-site in 2011 for Treatment, Disposal, or Recycling?
Mark “Yes” or “No” to indicate if any of the waste described in Section 1 was shipped off-site for
treatment, disposal, or recycling during 2011.
This GM Form is complete if you marked “No” in Item A.
Continue to Section 3, Item B if you marked “Yes” in Item A.
Item B – EPA ID Number of Facility to which Waste was Shipped
Enter the 12-digit EPA Identification Number of the facility to which the waste was shipped. Do not
create a GM Form for hazardous waste shipped directly to a foreign country from this site unless required

GM Form
(continued)
by your state. You must complete an Annual Report as required under 40 CFR 262.56, no later than
March 1 of each year.
Item C – Off-site Management Method Code Shipped To
Review the Management Method Codes in the “Other Reference Information” section of this booklet.
Enter the Management Method Code that best describes the way in which the waste was managed at the
initial receiving facility reported in Section 3, Item B.

LIST

For a list of Management Method Codes, see the “Other Reference Information” section of
this booklet.

Item D – Total Quantity Shipped in 2011
Enter the total quantity of the waste shipped to the off-site facility during 2011. Report the quantity in
the same unit of measure entered in Section 1, Item F. Shipment quantities should equal the total
quantity recorded on Uniform Hazardous Waste Manifests for this site during 2011, unless there were
rejections or other complications. The quantity shipped may not necessarily equal the quantity generated
(e.g., because some waste is still on-site at the end of the year or waste was removed from storage from a
previous year’s generation).
Comments
Use this section as needed to explain anything contained in the form including any waste minimization
efforts. The comments may help make determinations of data validity if questions arise during the
review of the report. If there are special circumstances surrounding the waste described on the form,
please note this here, especially if you are filing the report due to a one-time event.

INSTRUCTIONS FOR FILLING OUT THE WR FORM – WASTE
RECEIVED FROM OFF-SITE
Who Must Submit this Form
A site required to file the 2011 Hazardous Waste Report must submit this form if, during 2011, it received
RCRA hazardous waste from off-site.

Purpose of this Form
The WR Form identifies hazardous wastes that were received from other hazardous waste sites and the
method(s) used to manage them. The WR Form is divided into three identical parts (i.e., waste blocks),
labeled Waste 1, Waste 2, and Waste 3, that collect information on the quantities and characteristics of
each hazardous waste received from an off-site source during 2011 and managed on-site.

How to Fill out this Form
You may report waste received from more than one off-site handler on the same page of the form. A
separate waste block must be filled out for each hazardous waste received from each off-site handler.
Hazardous waste from the same off-site handler may be aggregated as long as a single form code
describes the physical form or chemical composition, and all of the waste is managed in a single process
system (i.e., same management method code).
If your site received more than three RCRA hazardous wastes from off-site handlers during 2011,
photocopy and fill out additional copies of this form. Prior to photocopying, place the pre-printed site
identification label in the top left-hand corner of the form or, if you did not receive pre-printed labels,
enter the site name and EPA Identification Number in the space provided.
Use the Comments section at the end of the form to clarify any entry (e.g., “Other” responses) or to
continue any entry. When entering information in the Comments section, cross-reference the waste block
and item letter to which the comment refers.

WR Form
(continued)

Item-By-Item Instructions
All items in this section are mandatory for each waste reported. Note: Either Item B and/or Item
C must be provided for each reported waste.
Item A – Waste Description
Provide a short narrative description of the waste, such as:
•
•
•
•

General type;
Source;
Type of hazard; and
Generic chemical name or primary hazardous constituents.

Example: “Ignitable spent solvent from degreasing operation in tool production; mixture of mineral
spirits and kerosene.”
In the example, note that the general type (spent solvent), source (degreasing operation in tool
production), type of hazard (ignitability), and generic chemical names (mineral spirits and kerosene) have
all been cited.
Item B – EPA Hazardous Waste Code(s)
Enter the four-character EPA hazardous waste code(s) that applies to the waste reported in Item A. EPA
hazardous waste codes are provided in the “Other Reference Information” section of this booklet. If you
need room for additional codes, list the codes in the Comments section and cross-reference the applicable
waste block number (.e.g., Waste 1) and Item B. If fewer than four EPA hazardous waste codes are
applicable, leave the remaining spaces blank. If the waste is regulated only by your State, leave Item B
blank and report the State hazardous waste codes in Item C.

LIST

For a list of EPA Hazardous Waste Codes, see the “Other Reference Information” section
of this booklet.

Item C – State Hazardous Waste Code(s)
Enter the State hazardous waste code(s) that applies to the waste reported in Item A, if:
•

Your State regulates hazardous wastes not regulated as RCRA hazardous waste and requires these
wastes to be reported in the 2011 Hazardous Waste Report; or

•

Your State uses a hazardous waste code system other than the EPA hazardous waste codes that
applies to the waste described in Item A.

Otherwise, leave Item C blank. If you need space for additional State hazardous waste codes, list the
codes in the Comments section and cross-reference the applicable waste block number (e.g., Waste 1) and
Item C.

WR Form
(continued)
Item D – Off-site Handler EPA Identification Number
Enter the 12-digit EPA Identification Number of the off-site handler from which the waste was received.
If the site does not have an EPA Identification Number, it may be a CESQG or foreign country. Refer to
the Special Instructions in this booklet for instructions on how to complete Item D for these off-site
handlers.
If the waste reported under Waste 2 is received from the same off-site handler as the waste reported under
Waste 1, put “Same as above” to indicate that the EPA Identification Number is the same as the one
reported in Waste 1; if Waste 3 is received from the same off-site handler as Waste 2, put “Same as
above” to indicate that the EPA Identification Number is the same as the one reported under Waste 2.

NOTE

Refer to the Special Instructions for reporting wastes received from CESQGs and for
reporting wastes received from foreign countries.

Item E – Quantity Received in 2011
Report the total quantity of the hazardous waste reported in Item A that was received from the off-site
handler reported in Item D during 2011. If more than one shipment of this waste was received from the
same off-site handler, add the quantities and report only the sum.
Item F – UOM and Density
Enter the Unit of Measure (UOM) code for the quantity you reported in Section 1, Item F. Report the
quantity in one of the units of measure listed below. If you select a volumetric measure (gallons, liters,
or cubic yards), you must also report the density of the waste.
Code
1
2
3
4
5
6
7

Weight and Volume Conversions

Unit of Measure
Pounds
Short tons (2,000 pounds)
Kilograms
Metric tons (1,000 kilograms)
Gallons
Liters
Cubic yards

Skip to Item G if you selected code 1, 2, 3, or 4.
Continue to Density if you selected code 5, 6, or 7.

Report the density only if you entered code 5, 6, or 7 for the unit of measure. Provide the density in either
pounds per gal (lbs/gal) or specific gravity (sg) and place an “X’ in the appropriate box to indicate which
measure was used.

WR Form
(continued)
Item G – Form Code
Review the Form Codes and enter the code that best corresponds to the physical form or chemical
composition of the hazardous waste reported in Section 1, Item A.
LIST

For a list of Form Codes, see the “Other Reference Information” section of this booklet.

Item H – Management Method Code
Enter the code that describes the type of process system (see definition) in which the waste was managed.

LIST

For a list of Management Method Codes, see the “Other Reference Information” section of
this booklet.

Comments
Use this section as needed to explain anything contained in the form. The comments may help make
determinations of data validity if questions arise during the review of the report. If there are
special circumstances surrounding the waste described on the form, please note this here.

2011 Hazardous Waste Report
OTHER REFERENCE INFORMATION AND CODE LISTS

EXCLUDED WASTES
This section presents a partial list of excluded materials and wastes. This list includes materials excluded
from the definition of solid waste in 40 CFR 261.4(a) and solid wastes excluded from the definition of
hazardous waste in 40 CFR 261.4(b). In addition, it also includes specific solid waste samples that are
excluded from the definition of hazardous waste in 40 CFR 261.4(d)-(f). Finally, this list includes
specific hazardous wastes, as described in 40 CFR 261.4(c), that are exempted from certain RCRA
Subtitle C regulations.
Agricultural Waste Fertilizer
§261.4(b)(2)

Household Waste
§261.4(b)(1)(i)-(ii)

Secondary Material Returned to
Original Process
§261.4(a)(8)

Analytical Samples
§261.4(d)

HTMR Condenser Residue
§261.4(a)(11)

Arsenic Treated Wood and Wood
Products
§261.4(b)(9)

In situ Mining Materials
§261.4(a)(5)

Secondary Material from Mineral
Processing
§261.4(a)(17)

Irrigation Return Flows
§261.4(a)(3)

Shredded Circuit Boards Being
Recycled
§261.4(a)(14)

Coking By-products
§261.4(a)(10)

Kraft Mill Steam Stripper
Condensates
§261.4(a)(15)

Spent Caustics from Petroleum
Refining
§261.4(a)(19)

Comparable/Syn gas Fuels
§261.4(a)(16)

Leachate
§261.4(b)(15)

Spent Wood Preserving Solutions and
Wastewaters
§261.4(a)(9)

Domestic Sewage
§261.4(a)(1)

Mining and Mineral Process Wastes
§261.4(b)(7)

Dredged Material
§261.4(g)

Mining Overburden
§261.4(b)(3)

Drilling Fluid
§261.4(b)(5)

Nuclear Material
§261.4(a)(4)

Excluded Scrap Metal Being Recycled
§261.4(a)(13)

Oil Filters
§261.4(b)(13)

Exported Wastes
§262.56

Petrochemical Recovered Oil
§261.4(a)(18)

Fossil Fuel Emission Control Waste
§261.4(b)(4)

Petroleum-contaminated Media and
Debris
§261.4(b)(10)

Cement Kiln Dust
§261.4(b)(8)

Hazardous Secondary Material
Generated and Reclaimed Under the
Control of the Generator
40 CFR 261.2(a)(2)(ii)
40 CFR 261.4(a)(23)
Hazardous Secondary Material
Transferred Off-site for Reclamation
40 CFR 261.4(a)(24)
40 CFR 261.4(a)(25)

Sulfuric Acid
§261.4(a)(7)
Treatability Study Samples
§261.4(e)
Treatability Studies at Laboratories
and Testing Facilities
§261.4(f)
Trivalent Chromium Waste
§261.4(b)(6)
Used Oil Distillation Bottoms
§261.4(b)(14)

Petroleum Refining
§261.4(a)(12)

Wastes Generated in Storage Tanks,
Transport Vehicles, Pipelines, or
Manufacturing Process Units
§261.4(c)

Pulping Liquor
§261.4(a)(6)

Wastewater Point Source Discharge
§261.4(a)(2)

Refrigerants
§261.4(b)(12)

DEFINITIONS
This section contains definitions of terms helpful for completing the form. For terms defined in the Code
of Federal Regulations (CFR), the appropriate citation is provided.
Accumulation

A site that does not hold RCRA Interim Status or a RCRA permit may
accumulate hazardous waste for a short period of time before shipping it
off-site. The waste must be accumulated in either tanks or containers; it
may not be accumulated in surface impoundments.
Generators of more than 1,000 kg (2,200 lbs) of hazardous waste per month
may accumulate their waste for up to 90 days before shipping it off-site.
Generators of 100 kg (220 lbs) to 1,000 kg (2,200 lbs) of hazardous waste
per month may accumulate their waste for up to 180 days before shipping it
off-site. If the nearest treatment, storage, disposal, or recycling facility to
which they can send their waste is more than 200 miles away, they may
accumulate their waste for 270 days. See 40 CFR 262.34.

Act or RCRA

The Solid Waste Disposal Act, as amended by the Resource Conservation
and Recovery Act of 1976, as amended by the Hazardous and Solid Waste
Amendments of 1984, 42 U.S.C. Section 6901 et seq.

Acute Hazardous Waste

Any hazardous waste with an EPA hazardous waste code beginning with the
letter “P” (40 CFR 261.33(e)) or any of the following “F” codes: F020,
F021, F022, F023, F026, and F027 (40 CFR 261.31). These wastes are
subject to stringent quantity standards for accumulation and generation (40
CFR 261.5(e)).

Authorized
Representative

The person responsible for the overall operation of the site or an operational
unit (i.e., part of a site), e.g., superintendent or plant manager, or person of
equivalent responsibility.

Authorized State

A State that has obtained authorization from the EPA to direct its own
RCRA program.

Boiler

An enclosed device using controlled flame combustion and having the
following characteristics:
1. The unit has physical provisions for recovering and exporting
energy in the form of steam, heated fluids, or heated gases;
2. The unit's combustion chamber and primary energy recovery
section(s) are of integral design (i.e., they are physically formed into
one manufactured or assembled unit);
3. The unit continuously maintains an energy recovery efficiency of at
least 60 percent, calculated in terms of the recovered energy
compared with the thermal value of the fuel;
4. The unit exports and utilizes at least 75 percent of the recovered
energy, calculated on an annual basis (excluding recovered heat
used internally in the same unit, for example, to preheat fuel or
combustion air or drive fans or feedwater pumps); or
5. The unit is one which the Regional Administrator has determined,
on a case-by-case basis, to be a boiler, after considering the
standards in 40 CFR 260.32

Definitions
(continued)
By-product Material

A by-product material is (1) any radioactive material (except special nuclear
material) yielded in or made radioactive by exposure to the radiation
incident to the process of producing or utilizing special nuclear material;
and (2) the tailings or wastes produced by the extraction or concentration of
uranium or thorium from any ore processed primarily for its source material
content (defined in the Atomic Energy Act of 1954).

Code of Federal
Regulations (CFR)

Codification of the general and permanent rules published in the Federal
Register by the Executive departments and agencies of the Federal
Government. The Code is divided into 50 titles which represent broad areas
subject to Federal regulation. Each title is divided into chapters that usually
bear the name of the issuing agency. Each chapter is further subdivided into
parts covering specific regulatory areas. The CFR title applicable for the
Hazardous Waste Report is “40,” as in “40 CFR 262.34.”

Conditionally Exempt
Small Quantity
Generator (CESQG) of
Hazardous Waste

A generator that meets the following criteria:
In every month during the year, the site did all of the following:
1. Generates no more than 100 kg (220 lbs.) of RCRA hazardous
waste in any calendar month; and
2. Did not accumulate, at any time, more than 1,000 kg (2,200 lbs.) of
RCRA hazardous waste; and
3. Did not generate, in any calendar month, or accumulate at any time,
more than 1 kg (2.2 lbs.) of acute hazardous waste, and no more
than 100 kg (220 lbs.) of material from the cleanup of a spill of
acute hazardous waste.

Confidential Business
Information (CBI)

Information a facility does not wish to make available to the general public
for competitive business reasons. Confidential Business Information (CBI)
may be claimed for certain information in your submittal. A claim may be
made in accordance with 40 CFR Part 2, Subpart B. Check with your state
to confirm your state’s policy on CBI.

Delisted Waste

Site-specific wastes excluded from regulation under 40 CFR 260.20 and
260.22. A waste at a particular generating site may be excluded by
petitioning the EPA Administrator for a regulatory amendment. These
wastes are listed in Appendix IX of 40 CFR Part 261.

Disposal

The discharge, deposit, injection, dumping, spilling, leaking, or placing of
any solid waste or hazardous waste into or on any land or water so that such
solid waste or hazardous waste or any constituent thereof may enter the
environment or be emitted into the air or discharged into any waters,
including ground waters.

Eligible Academic Entity

A college or university, or a non-profit research institute that is owned by or
has a formal written affiliation with a college or university, or a teaching
hospital that is owned by or has a formal written affiliation with a college or
university pursuant to 40 CFR Part 262 Subpart K (See 40 CFR 262.200).

Definitions
(continued)
Environmental
Protection Agency (EPA)

EPA, also called U.S. EPA, means the United States Environmental
Protection Agency. Some State environmental authorities may be called the
EPA also, as in “Illinois EPA.”

EPA Identification (ID)
Number

The number assigned by the EPA to each hazardous waste generator,
hazardous waste transporter, and treatment, storage, or disposal facility;
United States importer of hazardous waste; mixed waste (hazardous and
radioactive) generator; recycler of hazardous waste; exempt boiler and/or
industrial furnace burning or processing hazardous waste; large quantity
handler of or destination facility for universal wastes; disposer of hazardous
waste with an underground injection permit; used oil transporter, used oil
processor/re-refiner, off-specification used oil fuel burner, used oil fuel
marketer; eligible academic entity managing laboratory hazardous waste
under Subpart K; or site undergoing corrective action. Additionally,
facilities that must notify using the Site ID Form and Addendum to the Site
ID Form that they are managing hazardous secondary material will also be
assigned an EPA ID number.

Excluded Wastes

Wastes excluded from the definition of solid or hazardous waste under 40
CFR 261.3 and 261.4. For a partial listing, see the “Other Reference
Information” section of this booklet.

GM Form

Waste Generation and Management form.

Hazardous Waste

A hazardous waste as defined in 40 CFR 261.3.

Hazardous Secondary
Material (HSM)

A secondary material (e.g., spent material, by-product, or sludge) that, when
discarded, would be identified as hazardous waste under 40 CFR Part 261.
Facilities managing hazardous secondary material under 40 CFR
261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) must complete the
Addendum to the Site Identification Form: Notification for Managing
Hazardous Secondary Material. You must check with your State to
determine if you are eligible to manage hazardous secondary material under
these exclusions (see also
http://www.epa.gov/epawaste/hazard/dsw/statespf.htm).

Hazardous Waste
Generator

Any person, by site, whose act or process produces hazardous waste
identified or listed in 40 CFR Part 261.

Hazardous Waste
Number or Code, EPA

The number (or code) assigned by the EPA to each hazardous waste listed in
40 CFR Part 261, Subpart D and to each characteristic identified in 40 CFR
Part 261, Subpart C. The codes consist of one letter (D, F, P, U, or K) and
three numbers. For a list of EPA hazardous waste codes see the “Other
Reference Information” section of this booklet.

Hazardous Waste
Number or Code, State

The number (or code) assigned by the State to each hazardous waste listed
in the State regulations. Obtain a list of the States waste codes from your
State.

Hazardous Waste
Storage

The holding of hazardous waste for a temporary period, at the end of which
the hazardous waste is treated, disposed of, or stored elsewhere.

Definitions
(continued)
Hazardous Waste
Transfer Facility

Refer to “Transfer Facility" definition.

Hazardous Waste
Transporter

Refer to “Transporter" definition.

Hazardous Waste
Treatment

Any method, technique, or process, including neutralization, designed to
change the physical, chemical, or biological character or composition of any
hazardous waste so as to neutralize such hazardous waste, or so as to
recover energy or material resources from the hazardous waste, or so as to
render such hazardous waste nonhazardous, or less hazardous; safer to
transport, store or dispose of; or amenable for recovery, amenable for
storage, or reduced in volume. Such term includes any activity or
processing designed to change the physical form or composition of
hazardous waste so as to render it nonhazardous.

Incineration

Burning of certain types of solid, liquid, or gaseous materials; or a treatment
technology involving destruction of waste by controlled burning at high
temperatures (e.g., burning sludge to remove the water and reduce the
remaining residues to a safe, non-burnable ash that can be disposed safely
on land, in some waters, or in underground locations).

Industrial Furnace

Any of the following enclosed devices that are integral components of
manufacturing processes and that use thermal treatment to accomplish
recovery of materials or energy: cement kilns; lime kilns; aggregate kilns;
phosphate kilns; coke ovens; blast furnaces; smelting, melting and refining
furnaces; titanium dioxide chloride process oxidation reactors; methane
reforming furnaces; pulping liquor recovery furnaces; combustion devices
used in the recovery of sulfur values from spent sulfuric acid; halogen acid
furnaces, as defined under industrial furnace in 40 CFR 260.10; and such
other devices as the Administrator may add to this list.

Interim (Permit)
Status

Period during which the owner/operator of an existing TSD facility is
treated as having been issued a RCRA permit even though he/she has not
yet received a final determination. An existing facility should have
automatically qualified for interim status if the owner/operator filed both
timely “notification” and the first part (Part A) of the RCRA permit
application. Interim status continues until a final determination is made to
issue or deny the permit. Owner/operator of new facilities cannot by
definition qualify for interim status; rather, they need a RCRA permit prior
to beginning construction of a hazardous waste management facility.

Large Quantity
Generator (LQG) of
Hazardous Waste

A generator that meets any of the following criteria:
1. Generates, in a calendar month, 1,000 kg (2,200 lbs.) or more of
non-acute RCRA hazardous waste; or
2. Generates, in a calendar month, or accumulates at any time, more
than 1 kg (2.2 lbs.) of RCRA acute hazardous waste; or
3. Generates, in a calendar month, or accumulates at any time, more
than 100 kg (220 lbs.) of spill cleanup material contaminated with
RCRA acute hazardous waste.

Definitions
(continued)
Large Quantity Handler
of Universal Waste
(LQHUW)

A universal waste handler (as defined in 40 CFR 273.9) who accumulates
5,000 kg or more total of universal wastes (batteries, pesticides, mercurycontaining equipment, or lamps – calculated collectively) at any time. This
designation is retained through the end of the calendar year in which the
5,000 kg limit is met or exceeded.

Management, or
Hazardous Waste
Management

Systematic control of the collection, source separation, storage,
transportation, processing, treatment, recovery, or disposal of hazardous
waste (40 CFR 260.10).

Manifest, Uniform
Hazardous Waste

The shipment document EPA form 8700-22 and, if necessary, Form 870022A, originated and signed by a generator in accordance with the
instructions included in the appendix to 40 CFR Part 262. The “cradle-tograve” paperwork must accompany a shipment of hazardous waste as it
moves from the generator to the transporter and eventually to the hazardous
waste management facility.

Mixed Waste

Waste that contains both hazardous and source, special nuclear, or byproduct material subject to the Atomic Energy Act (AEA), RCRA section
1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9, 1998).

Municipality

A city, village, town, borough, county, parish, district, association, Indian
tribe or authorized Indian tribal organization, designated and approved
management agency under Section 208 of the Clean Water Act, or any other
public body created by or under State law and having jurisdiction over
disposal of sewage, industrial wastes, or other wastes.

Off-site Facility

A hazardous waste treatment, storage, disposal, or recycling area located at
a place away from the generating site.

OI Form

Off-Site Identification form.

Off-Specification Used
Oil Burner

A site where used oil not meeting the specification requirements in 40 CFR
279.11 (off-specification used oil) is burned for energy recovery in devices
identified in Section 279.61(a).

Off-Specification Used
Oil Fuel

Used oil fuel that does not meet the specification provided under 40 CFR
279.11.

On-site Facility

A hazardous waste treatment, storage, disposal, or recycling area located on
the generating site.

On-Specification Used
Oil Fuel

Used oil fuel that meets the specification provided under 40 CFR 279.11.

Operator

The person responsible for the overall operation of a RCRA site.
Note: This is the legal entity which controls the RCRA site operation rather
than the plant or site manager. This is usually a company or business name,
not an individual. See Person.

Definitions
(continued)
Owner

The person who owns a RCRA site or part of a RCRA site. Note: This
includes the owner(s) of the building(s) and/or land. This may be an
individual, company, or business name. See Person.

Person

An individual, trust, firm, joint stock company, Federal Agency, corporation
(including a government corporation), partnership, association, State,
municipality, commission, political subdivision of a State, or any interstate
body.

Process System

For purposes of the Hazardous Waste Report, a process system refers to one
or more units used together to treat, recover, or dispose of a hazardous
waste. The process system begins at the unit where the hazardous waste
first enters and consists of all other treatment, recovery, or disposal units
downstream from the point of entry. Note that storage is not considered a
process system, except for storage at a bulking and re-shipping facility
(H141).
Classify each process system with a Management Method code that best
identifies the final substantive purpose/operation it performs. For
example, a process system to remove dissolved metals from wastewater
prior to shipping the sludge off-site typically includes equalization, pH
adjustment, chemical precipitation, flocculation, clarification/settling, and
dewatering of the sludge removed from the bottom of the clarifier. The
chemical precipitation process best identifies the final purpose of this
treatment system - to remove metals from the wastewater.
If this
wastewater treatment system is RCRA-regulated, it would be reported as
H077 (chemical precipitation). If the sludge will be disposed at the reporting
site in a landfill, the code will be H132 (landfill) and will need to be
reported on a separate GM Form because it is a residual from a treatment
process. However, this process is exempt if the treated water flows to a
POTW or a NPDES outfall with no RCRA-regulated storage or treatment
units in the system, and should not be reported. A listing of Management
Method codes may be found in the “Other Reference Information” section
of this booklet.

Process Unit

For purposes of the Hazardous Waste Report, a process unit refers to a
single type of treatment (e.g., tank, distillation column, surface
impoundment) in which hazardous waste is treated, disposed, or recycled.

Resource Conservation
and Recovery Act
(RCRA)

The Solid Waste Disposal Act as amended by the Resource Conservation
and Recovery Act (RCRA) (40 CFR 270.2). It is the Federal statute that
regulates the generation, treatment, storage, disposal, recycling, and/or
transportation of solid and hazardous waste.

RCRA Interim (Permit)
Status

Refer to “Interim (Permit) Status” definition.

RCRA Permit

A complete RCRA permit is comprised of an operating permit for hazardous
waste treatment, storage, and disposal, and a corrective action permit
addressing releases from solid waste management unit (SWMUs). To apply
for a permit, a site must file a two-part application (Part A and Part B). A
facility is not considered to have a complete RCRA permit until both parts
have been issued.

Definitions
(continued)
RCRA Subtitle C Site
(RCRA Site or Site)

The physical plant or location at which one or more of the following
regulated waste activities occurs: the generation, transportation, treatment,
storage, or disposal of hazardous wastes; recycling of hazardous wastes;
United States importer of hazardous waste; mixed waste (hazardous and
radioactive) generator; exempt boiler and/or industrial furnace burning or
processing hazardous waste; large quantity handler of or destination facility
for universal wastes; disposing hazardous waste with an underground
injection permit; the transportation (and temporary storage during
transportation), processing/re-refining, burning, or marketing of used oil;
eligible academic entity managing laboratory hazardous waste under
Subpart K; facility managing hazardous secondary material being reclaimed
that must comply with certain requirements and conditions; or undergoing
corrective action.
A site may consist of several treatment, storage, or disposal operational
units. For entities that only transport regulated wastes, the term site refers to
the headquarters of that entity’s operations.

Recycling

Use, reuse, or reclamation of a material (40 CFR 261.1(c)(7)).
“Reclamation” is the processing or regeneration of a material to recover a
usable product (e.g., recovery of lead values from spent batteries,
regeneration of spent solvents) (40 CFR 261.1(c)(4)). A material is “used or
reused” if it is either: (1) employed as an ingredient (including use as an
intermediate) in an industrial process to make a product (e.g., distillation
bottoms from one process used as feedstock in another process) (40 CFR
261.1(c)(5)). However, a material will not satisfy this condition if distinct
components of the material are recovered as separate end products (as when
metals are recovered from metal-containing secondary material); or (2)
employed in a particular function or application as an effective substitute for
a commercial product (e.g., spent pickle liquor used as phosphorous
precipitant and sludge conditioner in wastewater treatment).

Residual

A hazardous waste derived from the treatment, disposal, or recycling of a
previously existing hazardous waste (e.g., the sludge remaining after initial
wastewater treatment).

Short-term Generator

A generator whose generator status is the result of a one-time, nonrecurring, temporary event that is not related to normal production
processes. In other words, short-term generators produce hazardous waste
from a particular activity for a limited time and then cease conducting that
activity. Short-term generators would not be considered episodic generators
because episodic generators have the potential to generate on a regular
basis. Examples of short-term generators include: one-time highway bridge
waste generation, underground storage tank removals, generation of offspec or out-of-date chemicals at a site that normally doesn’t generate
hazardous waste, remediate or spill clean-up sites with no previous RCRA
ID, and site or production process decommissions by a new operator.

Sludge

Any solid, semi-solid, or liquid waste generated from a municipal,
commercial, or industrial wastewater treatment plant, water supply
treatment plant, or air pollution control facility exclusive of the treated
effluent from a wastewater treatment plant (40 CFR 260.10).

Definitions
(continued)
Small Quantity
Generator (SQG) of
Hazardous Waste

A generator that meets all the following criteria:
1.Generates, in any calendar month, more than 100 kg (220 lbs.) but
less than 1,000 kg (2,200 lbs.) of RCRA hazardous waste; and
2.Does not generate, in any calendar month, or accumulates at any time,
more than 1 kg (2.2 lbs.) of acute hazardous waste and
3.Does not generate more than 100 kg (220 lbs.) of material from the
cleanup of a spill of acute hazardous waste.
OR, a site is a Small Quantity Generator if the site:
1. Meets 1) and 3) of the Conditionally Exempt Small Quantity
Generator criteria (see definition), but
2. Is storing more than 1,000 kg (2,200 lbs.) of RCRA hazardous
waste on-site. If the site accumulates, at any time, more than 1,000
kg (2,200 lbs.) of RCRA hazardous waste, the site must apply for
an EPA ID Number using this form.

Small Quantity On-Site
Burner Exemption

The persons who burn small quantities of hazardous waste in an on-site
boiler or industrial furnace, in accordance with 40 CFR 266.108, are
conditionally exempt from regulation for that activity.

Smelting, Melting, and
Refining Furnace
Exemption

Under 40 CFR 266.100(c), owners or operators of smelting, melting, and
refining furnaces that process hazardous wastes solely for metals recovery
are conditionally exempt from regulation, except for 40 CFR 266.101 and
266.112, provided they comply with limited requirements set forth in
Section 266.100(c). Similarly, 40 CFR 266.100(f) provides that owners or
operators of smelting, melting and refining furnaces that process hazardous
wastes for the recovery of precious metals are conditionally exempt from
regulation, except for 40 CFR 266.112, provided they comply with limited
requirements specified in Section 266.100(f).

Solid Waste

Any garbage, refuse, or sludge, or other materials not excluded under 40
CFR 261.4(a). Exclusions include, for example, domestic sewage and any
mixture of other wastes that pass through a sewer system to a publicly
owned treatment works (POTWs); industrial wastewater discharges that are
point source discharges subject to regulation under the Clean Water Act;
irrigation return flows; nuclear materials defined by the Atomic Energy Act;
and in situ mining materials (see the “Other Reference Information” section
of this booklet.). Wastewaters being collected, stored, or treated before
discharge and sludges generated by wastewater treatment are not excluded.
The EPA defines hazardous waste as a subset of solid waste.

Source Material

As defined by the Atomic Energy Act of 1954: (1) Uranium, thorium, or
any other material determined by the Nuclear Regulatory Commission
pursuant to the provisions of Section 2091 of this title to be source material;
or (2) ores containing one or more of the foregoing materials in such
concentration as the Commission may by regulation determine from time to
time.

Definitions
(continued)
Special Nuclear Material

As defined by the Atomic Energy Act of 1954: (1) plutonium, uranium
enriched in the isotope 233 or in the isotope 235, and any other material
which the Nuclear Regulatory Commission, pursuant to the provisions of
Section 2071 of this title, determines to be special nuclear material, but does
not include source material; or (2) any material artificially enriched by any
of the foregoing, but does not include source material.

Subpart K

An alternative set of generator requirements for managing laboratory
hazardous waste at eligible academic entities. Generators that are eligible
academic entities with laboratories may elect to opt into 40 CFR Part 262
Subpart K and manage their laboratory hazardous waste under Subpart K in
lieu of 40 CFR 262.34(c) (or 40 CFR 261.5 for CESQGs). In order for
eligible academic entities (see definition) to opt into Subpart K or
subsequently withdraw from Subpart K, they must use the Site ID Form to
notify the appropriate State or EPA Regional Office. Refer to 40 CFR
262.203 and 262.204. Note: You must check with your State to determine
if you are eligible to manage laboratory hazardous waste pursuant to 40
CFR Part 262 Subpart K and for any state-specific requirements.

Superfund

The program operated under the legislative authority of the Comprehensive
Environmental Response, Compensation, and Liability Act (CERCLA) and
the Superfund Amendments and Reauthorization Act (SARA) that funds
and carries out the solid waste emergency response and long-term remedial
activities of the EPA.

Surface Impoundment

A natural topographic depression, man-made excavation, or diked area
formed primarily from earthen materials (though it may be lined with manmade materials) that is designed to accumulate liquid wastes or wastes
containing free liquids, and that is not an injection well (40 CFR 260.10).

Sustainable Materials
Management

Sustainable Materials Management is an approach to serving human needs
by using/reusing resources most productively and sustainably throughout
their life cycles, generally minimizing the amount of materials involved and
all the associated environmental impacts. “Materials” include all those
extracted or derived from natural resources, which may be either inorganic
or organic substances, at all points throughout their life-cycles. “Life-cycle
of materials” includes all activities related to materials such as extraction,
transportation, production, consumption, material/product reuse, recovery
and disposal. For more information, go to Sustainable Material
Management: The Road Ahead located at
http://www.epa.gov/wastes/inforesources/pubs/vision2.pdf and Vision 2050
located at
www.wbcsd.org/web//projects/BZrole/Vision2050_Summary_Final.pdf

Tolling

Tolling arrangements describe a particular type of recycling contract
between two companies. Specifically, the “tolling” company certifies that it
has a contract with a manufacturer to produce a product, and that
manufacturing process generates a residual material that can be recycled by
the tolling company. If the tolling company certifies that the contract
specifies that the tolling company owns and has responsibility for the
recyclable material once it is generated, and the material is returned to the
tolling company for reclamation, and subsequently recycled, the material is
excluded from regulation (under 40 CFR 261.2(a)(2)(ii) or 261.4(a)(23)),

Definitions
(continued)
provided certain requirements are met.
Transfer Facility

Any transportation-related facility including loading docks, parking areas,
storage areas, and other similar areas where shipments of hazardous waste
are held for 10 days or less during the normal course of transportation (40
CFR 260.10 and 40 CFR 263.12).

Transporter

A person engaged in the off-site transportation of hazardous waste by air,
rail, highway, or water.

Underground Injection
Control

The subsurface emplacement of fluids through a bored, drilled or driven
well; or through a dug well, where the depth of the dug well is greater than
the largest surface dimension. Underground injection wells are regulated
under both the Safe Drinking Water Act and the Resource Conservation and
Recovery Act (see 40 CFR Part 148). Hazardous wastes must be injected
into a Class I well or, if authorized under a federal or state ground water
remediation project, may be injected into a Class IV well. See
http://water.epa.gov/type/groundwater/uic/wells.cfm for more information.

Unit

Refer to “Process Unit" definition.

United States Importer

Any person who imports hazardous waste from a foreign country into the
United States. This does not include hazardous waste shipped from a
foreign Department of Defense site, Maquiladora, United States territory or
protectorate.

Universal Waste

Any of the following hazardous wastes that are managed under the universal
waste requirements of 40 CFR Part 273: batteries, pesticides, mercurycontaining equipment, and lamps. Some States may have State-specific
universal wastes defined as well.

Used Oil

Any oil that has been refined from crude oil, or any synthetic oil, that has
been used, and as a result of such use, is contaminated by physical or
chemical impurities and is managed under 40 CFR Part 279. Used oil is not
reported on the biennial report.

Used Oil Fuel Marketer

Any person who conducts either of the following activities:
1. Directs a shipment of off-specification used oil from their site to an
off-specification used oil burner; or
2. First claims that used oil that is to be burned for energy recovery
meets the used oil fuel specifications set forth in 40 CFR 279.11.

Used Oil Management
Activities

For the purposes of the Site ID Form, includes used oil transportation; used
oil processing and re-refining; burning off-specification used oil fuel; and
used oil fuel marketing.

Used Oil Processing

Chemical or physical operations designed to produce from used oil, or to
make used oil more amenable for production of, fuel oils, lubricants, or
other used oil-derived products. Processing includes, but is not limited to:
blending used oil with virgin petroleum products, blending used oils to meet
the fuel specification, filtration, simple distillation, chemical or physical
separation, and re-refining.

Definitions
(continued)
Used Oil Processor

A site that processes on- specification or off-specification used oil.

Used Oil Re-Refiner

A site that produces lubricating oils and greases, industrial fuel, asphalt
extender, gasoline, and other products from on- specification or offspecification used oil.

Used Oil Transfer
Facility

Any transportation-related facility, including loading docks, parking areas,
storage areas, and other areas where shipments of used oil are held for more
than 24 hours during the normal course of transportation and not longer than
35 days. Transfer facilities that store used oil for more than 35 days are
subject to regulation under 40 CFR Part 279, Subpart F.

Used Oil Transporter

Any person who transports used oil, any person who collects used oil from
more than one generator and transports the collected oil, and owners and
operators of used oil transfer facilities. Used oil transporters may
consolidate or aggregate loads of used oil for purposes of transportation but,
with the following exception, may not process used oil. Used oil
transporters may conduct incidental processing operations that occur in the
normal course of used oil transportation (e.g., settling and water separation),
but that are not designed to produce (or make more amenable for production
of) used oil-derived products or used oil fuel.

Waste Minimization

The reduction, to the extent feasible, of hazardous waste that is generated or
subsequently treated, stored, or disposed. It includes any source reduction
or recycling activity undertaken by a generator that results in: (1) the
reduction of total volume or quantity of hazardous waste; (2) the reduction
of toxicity of hazardous waste; or (3) both, as long as the reduction is
consistent with the goal of minimizing present and future threats to human
health and the environment.

Waste Oil (Biennial
Report Only)

Any oil that has been refined from crude oil, or any synthetic oil, that has
been used, and as a result of such use, is contaminated by physical or
chemical impurities and is managed as a hazardous waste.

WR Form

Waste Received from Off-Site form.

SPECIAL INSTRUCTIONS
These instructions explain how to complete the 2011 Hazardous Waste Report for wastes and sites with
unique regulatory or reporting requirements.
Asbestos, PCBs, Waste Oils

In most cases, do not report asbestos, PCBs, and waste oils.
However, you must report them if any of the following
conditions exist:
(1) If your State specifically requires that these wastes be
reported;
(2) If a listed RCRA hazardous waste (i.e., EPA hazardous
waste code that begins with “F”, “K”, “P”, or “U”) is mixed
with asbestos, PCBs, or waste oil, in which case the entire
mixture is a hazardous waste; or
(3) If the waste possesses one or more of the characteristics that
result in assigning EPA hazardous waste code beginning
with “D”. (This does not apply to used oil that is recycled as
explained below.)
Do not report “used oil that is recycled and is also a hazardous
waste solely because it exhibits a hazardous characteristic
(criterion 3 above). Used oil that is recycled includes any used
oil which is reused, following its original use, for any purpose
(including the purpose for which the oil was originally used).
Such term includes, but is not limited to, oil which is re-refined,
reclaimed, burned for energy recovery, or reprocessed.”
(40 CFR 261.6(a)(4))

Groundwater Contaminated by
Hazardous Waste

Groundwater contaminated by RCRA hazardous waste is not
considered a solid waste and is, therefore, not classified as a
hazardous waste.
However, because hazardous waste is
“contained in” the groundwater, it must be treated “as if” it were
a RCRA hazardous waste if it is removed for treatment, storage
or disposal.1 When reporting groundwater contaminated by
hazardous waste in the 2011 Hazardous waste Report, observe
the following conventions:
(1) Enter “0” in the GM Form, Section 1, Item F (quantity).
Explain in the Comments section that it is groundwater, not a
hazardous waste that was generated on-site.
(2) Report quantities managed on-site (GM Form, Section 2,

To determine if the contaminated media must be reported at all (generated OR treated): If the contamination is due to a
characteristic waste, then it is the generator’s responsibility to determine if the contaminated groundwater is a hazardous waste.
Once the characteristics are eliminated, the media is no longer considered to “contain” hazardous waste. If a facility has first
removed groundwater and is claiming that the groundwater is contaminated with a listed hazardous waste or “contains” listed
hazardous waste, EPA Regions or Authorized States should make a site-specific determination of whether the media is a RCRA
Waste. Please see: “Management of Remediation Waste Under RCRA,” EPA530-F-98-026, October 14, 1998. RCRA Online
Document No. 14291. Available online at:
http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/d9e61a0505db4b6885256817006e32b8!OpenDocu
ment.

On-site Process Systems 1 and 2); quantities shipped off-site
for management (GM Form, Section 3); and quantities
received from off-site and managed on-site (WR Form, Item
E).
Lab Packs

The following rules apply to the reporting of lab pack wastes in
the 2011 Hazardous Waste Report:
(1) You may aggregate lab pack wastes if they have the same
Form Code. However, you must report them as separate
wastes under the following conditions:
If they contain RCRA acute hazardous wastes (i.e., EPA
hazardous waste codes F020, F021, F022, F023, F026, F027,
and all “P” waste codes). Report separately from lab packs
containing other RCRA hazardous wastes (all other EPA
hazardous waste codes).
•

If they are managed differently from each other. For
example, report lab packs shipped to landfills
separately from those incinerated.

(2) Enter a Form Code indicating lab packs (i.e., W001 or
W004) on the GM Form, in Section 1, Item E or on the WR
Form in Item G. These Form Codes are to be used with any
lab pack, whether the wastes are gaseous, liquid, solid, or
sludge.
(3) It is not necessary to report every EPA hazardous waste
code included in a batch of lab packs. Record one, or a few
predominant, EPA hazardous waste codes in Section 1, Item
B of the GM Form, or Item B of the WR Form. If there are
many EPA hazardous waste codes associated with the batch
of lab packs, enter “LABP” in the first four-character field in
Section 1, Item B of the GM Form, or Item B of the WR
Form; then enter “NA” in the remaining spaces for the EPA
hazardous waste codes.
(4) When reporting quantities for lab packs:

RCRA-Radioactive Mixed Wastes

•

Include the weight of the containers if they are
disposed (e.g., landfilled) or treated (e.g.,
incinerated) with the waste.

•

Exclude the weight of the containers if the waste is
removed from the containers before treatment or
disposal.

By themselves, source material, special nuclear material, or byproduct materials (see definitions section), as defined by the
Atomic Energy Act of 1954 and amended by 42 U.S.C. 2011 et.
Seq., are not classified as hazardous wastes under RCRA.
However, if these materials are mixed with a RCRA hazardous
waste, the material is controlled under RCRA regulation, as well
as under the Atomic Energy Act (DOE, NRC, and EPA)
regulations, and is to be reported in the 2011 Hazardous Waste

Report.
Subpart K Laboratory Waste
Clean-out

A Subpart K laboratory clean-out conducted in accordance with
40 CFR 262.213(a), is defined as: once per 12 months per
laboratory, a laboratory will have 30 days to conduct a clean-out
and will not have to count the hazardous waste that consists of
unused commercial chemical products (either listed or
characteristic) generated during those 30 days towards the
eligible academic entity’s generator status for the purposes of onsite accumulation. See 40 CFR 262.213(a)(1-4) for other
Subpart K laboratory clean-out requirements.
The waste generated from this clean-out should be reported on
the GM Form with a source code of “G17 – Subpart K
Laboratory Waste Clean-out” with a generation amount of zero
(0) (Section 1, Item F). The amount shipped off-site or managed
on-site will be reported in Sections 2 or 3 of the GM Form as
appropriate.
Laboratory waste that is generated during routine operations
(e.g., spent solvents or spent acids/bases) should be reported
separately from Subpart K laboratory clean-out wastes.
Routinely generated laboratory waste should be reported with
source code(s) other than G17.

Wastes Received from
Conditionally Exempt Small
Quantity Generators (CESQGs)

Waste management facilities sometimes receive hazardous waste
from large numbers of Conditionally Exempt Small Quantity
Generators (CESQGs) or other sites that do not have RCRA EPA
Identification Numbers. To minimize the response burden for
filling out the WR Form for these wastes, you may aggregate
the wastes across generating sites, in accordance with these
guidelines:
(1) All the wastes must have the same EPA hazardous waste
code (Item B), State hazardous waste code (Item C), Form
code (Item G), and Management Method code (Item H).
(2) Wastes received from different States must be reported
separately. For the off-site handler EPA Identification
Number (Item D), the entry should include the two-letter
postal code of the originating State, followed by the letters
“CESQG”.
For example, wastes received from several CESQGs in the State
of Alaska (AK) that share a common EPA hazardous waste code,
State hazardous waste code, Form code, and Management
Method code could be aggregated in a single waste block of the
WR Form (e.g., Waste 1). In Item D, the off-site handler EPA
ID number is entered as “AKCESQG”. Note: This method of
completing Item D can also be used for CESQG waste that is not
aggregated.

Wastes Received from Foreign
Countries

Reporting on the GM Form – If your site was the generator of
record and was the U.S. Importer for hazardous waste received
from a foreign country (other than a foreign Department of
Defense site, Maquiladora, U.S. territory or protectorate),

complete a GM Form. Enter the appropriate code in Section 1,
Item D – Source Code from the list of codes G63 through G75 –
Hazardous waste received from [name of foreign country].
Include the Import Notification and other foreign generator
information in the Comments. Also, mark “Yes” on the Site ID
Form, Item 10.A.3 – United States Importer of Hazardous Waste.
Report on the OI Form the name and address of all foreign
generators if this form is required by your State.
Report on the WR Form – If your site received hazardous
waste directly from a generator in a foreign country (other than a
foreign Department of Defense site, Maquiladora, U.S. territory
or protectorate), complete a WR Form for the waste treated,
recovered, or disposed at your site. This waste was not shipped
to your site by a U.S. Importer. Report the code “FC” followed
by the name of the foreign country in Item D – Off-site
Handler EPA ID number. Include the Import Notification and
other foreign generator information in the Comments. Report on
the OI Form the name and address of all foreign generators if this
form is required by your State.

EPA HAZARDOUS WASTE CODES
A list of all the hazardous waste codes is shown below. See the regulations for details.
CHARACTERISTICS OF HAZARDOUS WASTE (SEE
40 CFR 261.24) – DXXX
HAZARDOUS WASTE FROM NON-SPECIFIC
SOURCES (SEE 40 CFR 261.31) – FXXX

DISCARDED COMMERCIAL CHEMICAL PRODUCTS,
OFF-SPECIFICATION SPECIES, CONTAINER
RESIDUALS, AND SPILL RESIDUES THEREOF –
ACUTE HAZARDOUS WASTE (SEE 40 CFR 261.33) –
PXXX

HAZARDOUS WASTE FROM SPECIFIC SOURCES
(SEE 40 CFR 261.32) - KXXX

DISCARDED COMMERCIAL CHEMICAL PRODUCTS,
OFF-SPECIFICATION SPECIES, CONTAINER
RESIDUES, AND SPILL RESIDUES THEREOF –
TOXIC WASTES (SEE 40 CFR 261.33) - UXXX

D001
D002
D003
D004
D005
D006
D007
D008
D009
D010
D011
D012
D013
D014
D015
D016
D017
D018
D019
D020
D021
D022
D023
D024
D025
D026
D027
D028
D029
D030
D031
D032
D033
D034
D035
D036
D037
D038
D039
D040
D041
D042
D043

P106
P108
P109
P110
P111
P112
P113
P114
P115
P116
P118
P119
P120
P121
P122
P123
P127
P128
P185
P188
P189
P190
P191
P192
P194
P196
P197
P198
P199
P201
P202
P203
P204
P205

F001
F002
F003
F004
F005
F006
F007
F008
F009
F010
F011
F012
F019
F020
F021
F022
F023
F024
F025
F026
F027
F028
F032
F034
F035
F037
F038
F039

K001
K002
K003
K004
K005
K006
K007
K008
K009
K010
K011
K013
K014
K015
K016
K017
K018
K019
K020
K021
K022
K023
K024
K025
K026
K027
K028
K029
K030
K031
K032
K033
K034
K035
K036
K037
K038
K039
K040
K041
K042
K043
K044
K045
K046

K047
K048
K049
K050
K051
K052
K060
K061
K062
K069
K071
K073
K083
K084
K085
K086
K087
K088
K093
K094
K095
K096
K097
K098
K099
K100
K100
K101
K102
K103
K104
K105
K106
K107
K108
K109
K110
K111
K112
K113
K114
K115
K116
K117
K118

K123
K124
K125
K126
K131
K132
K136
K141
K142
K143
K144
K145
K147
K148
K149
K150
K151
K156
K157
K158
K159
K161
K169
K170
K171
K172
K174
K175
K176
K177
K178
K181

LABP

P001
P002
P003
P004
P005
P006
P007
P008
P009
P010
P011
P012
P013
P014
P015
P016
P017
P018
P020
P021
P022
P023
P024
P026
P027
P028
P029
P030
P031
P033
P034
P036
P037
P038
P039
P040
P041
P042
P043
P044
P045
P046
P047
P048
P049

P050
P051
P054
P056
P057
P058
P059
P060
P062
P063
P064
P065
P066
P067
P068
P069
P070
P071
P072
P073
P074
P075
P076
P077
P078
P081
P082
P084
P085
P087
P088
P089
P092
P093
P094
P095
P096
P097
P098
P099
P101
P102
P103
P104
P105

U001
U002
U003
U004
U005
U006
U007
U008
U009
U010
U011
U012
U014
U015
U016
U017
U018
U019
U020
U021
U022
U023
U024
U025
U026
U027
U028
U029
U030
U031
U032
U033
U034
U035
U036
U037
U038
U039
U041
U042
U043
U044
U045
U046
U047

U048
U049
U050
U051
U052
U053
U055
U056
U057
U058
U059
U060
U061
U062
U063
U064
U066
U067
U068
U069
U070
U071
U072
U073
U074
U075
U076
U077
U078
U079
U080
U081
U082
U083
U084
U085
U086
U087
U088
U089
U090
U091
U092
U093
U094

U095
U096
U097
U098
U099
U101
U102
U103
U105
U106
U107
U108
U109
U110
U111
U112
U113
U114
U115
U116
U117
U118
U119
U120
U121
U122
U123
U124
U125
U126
U127
U128
U129
U130
U131
U132
U133
U134
U135
U136
U137
U138
U140
U141
U142

U143
U144
U145
U146
U147
U148
U149
U150
U151
U152
U153
U154
U155
U156
U157
U158
U159
U160
U161
U162
U163
U164
U165
U166
U167
U168
U169
U170
U171
U172
U173
U174
U176
U177
U178
U179
U180
U181
U182
U183
U184
U185
U186
U187
U188

U189
U190
U191
U192
U193
U194
U196
U197
U200
U201
U202
U203
U204
U205
U206
U207
U208
U209
U210
U211
U213
U214
U215
U216
U217
U218
U219
U220
U221
U222
U223
U225
U226
U227
U228
U234
U235
U236
U237
U238
U239
U240
U243
U244
U246

U247
U248
U249
U271
U278
U279
U280
U328
U353
U359
U364
U367
U372
U373
U387
U389
U394
U395
U404
U409
U410
U411

HSM FACILITY CODES
Facility codes describe the specific regulation a facility uses to manage its hazardous secondary material
(HSM) and the type of activity the facility performs under that regulation (e.g., generator, reclaimer).
Review the groups and pick the appropriate code. If more than one facility code applies to you, enter
each code on a separate row under Item 2 of the Addendum to the Site ID Form.
Under Control of the Generator Exclusion (40 CFR 261.2(a)(2)(ii) or 261.4(a)(23))
Code

Facility Code Description

HSM Generator reclaiming HSM “on-site”: This code applies if you generate and reclaim hazardous
secondary material at your generating facility. See also paragraph (1) in the Federal definition of
“Hazardous secondary material generated and reclaimed under the control of the generator” in 40 CFR
Part 260.10
HSM Generator transferring HSM to reclaimer within the “same company”: This code applies if
you generate hazardous secondary material and send the material for reclamation to a different facility
that is either controlled by you or controlled by the same person that controls your generating facility. See
also paragraph (2) in the Federal definition of “Hazardous secondary material generated and reclaimed
under the control of the generator” in 40 CFR Part 260.10.
Reclaimer receiving HSM from HSM generator within the “same company”: This code applies if
you receive and reclaim hazardous secondary material from a different facility that either controls you or
is controlled by the same person that controls you. See also paragraph (2) in the Federal definition of
“Hazardous secondary material generated and reclaimed under the control of the generator” in 40 CFR
Part 260.10.
Tolling Contractor reclaiming HSM pursuant to a tolling contract: This code applies if you are a
tolling contractor that reclaims hazardous secondary material pursuant to a written contract with a toll
manufacturer. See also paragraph (3) in the Federal definition of “Hazardous secondary material
generated and reclaimed under the control of the generator” in 40 CFR Part 260.10.
Toll Manufacturer managing HSM pursuant to a tolling contract: This code applies if you generate
and send hazardous secondary material for reclamation to a tolling contractor pursuant to a written
contract. See also paragraph (3) in the Federal definition of “Hazardous secondary material generated
and reclaimed under the control of the generator” in 40 CFR Part 260.10.

Transfer-based Exclusion (40 CFR 261.4(a)(24))
Code

06
07
08

Facility Code Description

HSM Generator transferring HSM off-site to a domestic reclamation facility: This code applies if
you generate and send hazardous secondary material for reclamation to an off-site domestic reclamation
facility.
Reclaimer receiving HSM from off-site: This code applies if you reclaim hazardous secondary material
received from an off-site domestic hazardous secondary material generator or other domestic facility.
Intermediate facility: This code applies if you receive hazardous secondary material from an off-site
domestic hazardous secondary material generator or another domestic facility and you store it for more
than ten days. This code does not apply if you generate or reclaim the hazardous secondary material.

Imports/Exports (40 CFR 261.4(a)(24) or (25))
Code

09
10
11

Facility Code Description

HSM Generator exporting HSM off-site to a foreign reclamation facility: This code applies if you
generate and export hazardous secondary material for reclamation to a foreign reclamation facility.
HSM Generator importing HSM from a foreign entity to send to another domestic reclamation
facility: This code applies if you import hazardous secondary material from a foreign entity and send the
material for reclamation to a domestic reclamation facility.
HSM Generator AND Reclaimer of imported HSM: This code applies if you import hazardous
secondary material from a foreign entity and reclaim the material at your facility.

HSM LAND-BASED UNIT CODES
A 2-digit code that best describes the land-based unit you use or will use to manage the hazardous
secondary material.
Code

Land-based Unit Code Description

Do not use land-based units to manage hazardous secondary material.

PL
OT

Use surface impoundment(s) to manage hazardous secondary material. A surface impoundment
is a natural topographic depression, man-made excavation or diked area formed primarily of
earthen materials (although it may be lined with man-made materials), which is designed to hold
an accumulation of liquid hazardous secondary materials or materials containing free liquids and
which is not an injection well.
Use pile(s) to manage hazardous secondary material. Pile means any non-containerized
accumulation of solid, nonflowing hazardous secondary material that is used for storage and is
not a containment building.
Use other land-based unit(s) to manage hazardous secondary material.

SOURCE CODES
Source codes describe the type of process or activity (i.e., source) from which a hazardous waste was
generated. Review the groups and pick the appropriate code.
Wastes from Ongoing Production and Service Processes (waste from general day to day
manufacturing, production, or maintenance activities)
Code
Source Code Description
G01
Dip, flush or spray rinsing (using solvents to clean or prepare parts or assemblies for further
processing - i.e. painting or assembly)
G02
Stripping and acid or caustic cleaning (using caustics to remove coatings or layers from parts or
assemblies )
G03
Plating and phosphating (electro- or non-electroplating or phosphating)
G04
Etching (using caustics or other methods to remove layers or partial layers)
G05
Metal forming and treatment (pickling, heat treating, punching, bending, annealing, grinding,
hardening, etc.)
G06
Painting and coating (manufacturing, building, or maintenance)
G07
Product and by-product processing (direct flow of wastes from chemical manufacturing or
processing, etc.)
G08
Removal of spent process liquids or catalysts (bulk removal of wastes from chemical
manufacturing or processing, etc.)
G09
Other production or service-related processes from which the waste is a direct outflow or result
(specify in comments)
Other Intermittent Events or Processes
Code
Source Code Description
G11
Discarding off-specification, out-of-date, and/or unused chemicals or products
G12
Lagoon or sediment dragout and leachate collection (large scale operations in open pits, ponds,
or lagoons)
G13
Cleaning out process equipment (periodic sludge or residual removal from enclosed processes
including internal scrubbing or cleaning)
G14
Removal of tank sludge, sediments, or slag (periodic sludge or residual removal from storage
tanks including internal scrubbing or cleaning)
G15
Process equipment change-out or discontinuation of equipment use (final materials and
residuals removal including cleaning)
G16
Oil changes and filter or battery replacement (automotive, machinery, etc)
Subpart K laboratory waste clean-out (facility must have opted into the Subpart K rule to use
G17
this source code)
G19
Other one-time or intermittent processes (specify in comments)
Pollution Control and Waste Management Process Residuals
Code
Source Code Description
G21
Air pollution control devices (baghouse dust or ash from stack scrubbers or precipitators; vapor
collection, etc.)
G22
Laboratory analytical wastes (used chemicals from laboratory operations)
G23
Wastewater treatment (sludge, filter cake, etc., including wastes from treatment before
discharge by NPDES or POTW or by UIC disposal)
G24
Solvent or product distillation as part of a production process (including totally enclosed
treatment systems). Does not include batch treatment in a separate process.
G25
Hazardous waste management - indicate management method (for residuals from regulated
hazardous waste processes - enter the related H code)
G26
Leachate collection (from landfill operations or other land units)
G27
Hazardous residual from treatment or recovery of universal waste

Source Codes
(continued)
Spills and Accidental Releases
Code
Source Code Description
Accidental contamination of products, materials, or containers (other than G11)
G31
G32
Cleanup of spill residues (infrequent, not routine)
G33
Leak collection and floor sweeping (ongoing, routine)
G39
Other cleanup of current contamination (specify in comments)
Remediation of Past Contamination
Code
Source Code Description
G41
Closure of hazardous waste management unit under RCRA
G42
Corrective action at a solid waste management unit under RCRA
G43
Remedial action or emergency response under Superfund
G44
State program or voluntary cleanup
G45
Underground storage tank cleanup
G49
Other remediation (specify in comments)
Waste Not Physically Generated On-Site
Code
Source Code Group
G61
Hazardous waste received from off-site for storage/bulking and transfer off-site for treatment or
disposal
Hazardous waste received from a foreign country (other than a foreign Department of Defense
For
site, Maquiladora, U.S. territory or protectorate). This site was the generator of record and is
codes
the U.S. Importer.
G63 Enter the appropriate code from the list below G75
G63
Hazardous waste received from Antarctica
G64
Hazardous waste received from Aruba
G65
Hazardous waste received from Bahamas
G66
Hazardous waste received from Belgium
G67
Hazardous waste received from Brazil
G68
Hazardous waste received from Canada
G69
Hazardous waste received from Holland
G70
Hazardous waste received from Malaysia
G71
Hazardous waste received from Mexico
G72
Hazardous waste received from New Zealand
G73
Hazardous waste received from Taiwan
G74
Hazardous waste received from Venezuela
G75
Hazardous waste received from other foreign country - see Comments for country name

FORM CODES
Form codes describe the general physical and chemical characteristics of a hazardous waste. Review the
groups and pick the appropriate code.
Mixed Media/Debris/Devices - Waste that is a mixture of organic and inorganic wastes, liquid and
solid wastes, or devices that are not easily categorized
Form Code Description
Code
W001
Lab packs from any source not containing acute hazardous waste
W002
Contaminated debris (see definition at 40 CFR 268.2(g) and requirements at 40 CFR 268.45):
for example, certain paper, clothing, rags, wood, empty fiber or plastic containers, glass,
piping, or other solids
W004
Lab packs from any source containing acute hazardous waste
W005
Waste pharmaceuticals managed as hazardous waste
W301
Contaminated soil (usually from spill clean up, demolition, or remediation); see also W512
W309
Batteries, battery parts, cores, casings (lead-acid or other types)
W310
Filters, solid adsorbents, ion exchange resins and spent carbon (usually from production,
intermittent processes, or remediation)
W320
Electrical devices (lamps, fluorescent lamps, or thermostats usually containing mercury;
CRTs containing lead; etc)
W512
Sediment or lagoon dragout, drilling or other muds (wet or muddy soils); see also W301
W801
Compressed gases of any type
Inorganic Liquids - Waste that is primarily inorganic and highly fluid (e.g., aqueous), with low
suspended inorganic solids and low organic content
Form Code Description
Code
W101
Very dilute aqueous waste containing more than 99% water (land disposal restriction defined
wastewater that is not exempt under NPDES or POTW discharge)
W103
Spent concentrated acid (5% or more)
W105
Acidic aqueous wastes less than 5% acid (diluted but pH <2)
W107
Aqueous waste containing cyanides (generally caustic)
W110
Caustic aqueous waste without cyanides (pH >12.5)
W113
Other aqueous waste or wastewaters (fluid but not sludge)
W117
Waste liquid mercury (metallic)
W119
Other inorganic liquid (specify in comments)
Organic Liquids - Waste that is primarily organic and is highly fluid, with low inorganic solids
content and low-to-moderate water content
Form Code Description
Code
W200
Still bottoms in liquid form (fluid but not sludge)
W202
Concentrated halogenated (e.g., chlorinated) solvent
W203
Concentrated non-halogenated (e.g., non-chlorinated) solvent
W204
Concentrated halogenated/ non-halogenated solvent mixture
W205
Oil-water emulsion or mixture (fluid but not sludge)
W206
Waste oil managed as hazardous waste
W209
Paint, ink, lacquer, or varnish (fluid – not dried out or sludge)
W210
Reactive or polymerizable organic liquids and adhesives (fluid but not sludge)
W211
Paint thinner or petroleum distillates
W219
Other organic liquid (specify in comments)

Form Codes
(continued)
Inorganic Solids - Waste that is primarily inorganic and solid, with low organic content and low-tomoderate water content; not pumpable
Form Code Description
Code
W303
Ash (from any type of burning of hazardous waste)
W304
Slags, drosses, and other solid thermal residues
W307
Metal scale, filings and scrap (including metal drums)
W312
Cyanide or metal cyanide bearing solids, salts or chemicals
W316
Metal salts or chemicals not containing cyanides
W319
Other inorganic solids (specify in comments)
Organic Solids - Waste that is primarily organic and solid, with low-to-moderate inorganic content and
water content; not pumpable
Form Code Description
Code
W401
Pesticide solids (used or discarded – not contaminated soils - W301)
W403
Solid resins, plastics or polymerized organics
W405
Explosives or reactive organic solids
W406
Dried paint (paint chips, filters, air filters, other)
W409
Other organic solids (specify in comments)
Inorganic Sludges - Waste that is primarily inorganic, with moderate-to-high water content and low
organic content; mostly pumpable
Form Code Description
Code
W501
Lime and/or metal hydroxide sludges and solids with no cyanides (not contaminated muds W512)
W503
Gypsum sludges from wastewater treatment or air pollution control
W504
Other sludges from wastewater treatment or air pollution control
W505
Metal bearing sludges (including plating sludge) not containing cyanides
W506
Cyanide-bearing sludges (not contaminated soils - W512)
W519
Other inorganic sludges (not contaminated muds - W512; specify in comments)
Organic Sludges - Waste that is primarily organic with low-to-moderate inorganic solids content and
water content; pumpable
Form Code Description
Code
W603
Oily sludge (not contaminated muds - W512)
W604
Paint or ink sludges, still bottoms in sludge form (not contaminated muds - W512)
W606
Resins, tars, polymer or tarry sludge (not contaminated muds - W512)
W609
Other organic sludge (specify in comments)

MANAGEMENT METHOD CODES
Management method codes describe the type of hazardous waste management system used to treat,
recover, or dispose a hazardous waste. Select the final substantive method used. Review the groups and
pick the appropriate code.
Reclamation and Recovery
Code
Management Method Code Description
H010
Metals recovery including retorting, smelting, chemical, etc.
H020
Solvents recovery (distillation, extraction, etc)
Other recovery or reclamation for reuse including acid regeneration, organics recovery, etc.
H039
(specify in comments)
Energy recovery at this site - used as fuel (includes on-site fuel blending before energy
H050
recovery; report only this code)
Fuel blending prior to energy recovery at another site (waste generated either on-site or
H061
received from off-site)
Destruction or Treatment Prior to Disposal at Another Site
Code
Management Method Code Description
Incineration - thermal destruction other than use as a fuel (includes any preparation prior to
H040
burning)
Chemical reduction with or without precipitation (includes any preparation or final processes
H071
for consolidation of residuals)
Cyanide destruction with or without precipitation (includes any preparation or final processes
H073
for consolidation of residuals)
H075
Chemical oxidation (includes any preparation or final processes for consolidation of residuals)
H076
Wet air oxidation (includes any preparation or final processes for consolidation of residuals)
Other chemical precipitation with or without pre-treatment (includes processes for
H077
consolidation of residuals)
Biological treatment with or without precipitation (includes any preparation or final processes
H081
for consolidation of residuals)
H082
Adsorption (as the major component of treatment)
H083
Air or steam stripping (as the major component of treatment)
Sludge treatment and/or dewatering (as the major component of treatment; not H071-H075,
H101
H077, or H082)
H103
Absorption (as the major component of treatment)
Stabilization or chemical fixation prior to disposal at another site (as the major component of
H111
treatment; not H071-H075, H077, or H082)
Macro-encapsulation prior to disposal at another site (as the major component of treatment;
H112
not reportable as H071-H075, H077, or H082)
H121
Neutralization only (no other treatment)
H122
Evaporation (as the major component of treatment; not reportable as H071-H083)
H123
Settling or clarification (as the major component of treatment; not reportable as H071-H083)
H124
Phase separation (as the major component of treatment; not reportable as H071-H083)
H129
Other treatment (specify in comments; not reportable as H071-H124)

Management Method Codes
(continued)
Disposal
Code
Management Method Code Description
H131
Land treatment or application (to include any prior treatment and/or stabilization)
H132
Landfill or surface impoundment that will be closed as landfill (to include prior treatment
and/or stabilization)
H134
Deepwell or underground injection (with or without treatment; this waste was counted as
hazardous waste)
H135
Discharge to sewer/POTW or NPDES (with prior storage - with or without treatment)
Transfer Off-site
Code
Management Method Code Description
H141
The site receiving this waste stored/bulked and transferred the waste with no treatment or
recovery (H010-H129), fuel blending (H061), or disposal (H131-H135) at that receiving site.
Do not use this code on GM Form in Section 1- Item D or in Section 2.

WASTE MINIMIZATION CODES
Waste minimization codes describe the type of waste minimization, recycling, or pollution prevention
efforts used to reduce the volume and toxicity of the hazardous waste generated at your facility. Select
the most detailed, appropriate, and specific method used. If minimization was not attempted (to the
point of implementing a change) for this waste, you must select the “X” code.
Waste Minimization was not attempted or was unsuccessful
Code Waste Minimization Code Description
X
No waste minimization efforts were implemented for this waste
Waste minimization efforts were unsuccessful in reducing quantity and/or toxicity (please
N
detail reasons in the Comments section)
Waste Minimization was attempted and was successful
Code Waste Minimization Code Description
S
Began to ship waste off-site for recycling
R
Recycling on-site was implemented and was successful
Waste minimization was implemented and was successful in reducing quantity and/or
Y
toxicity (please detail reasons in the Comments section)

File Type	application/pdf
File Title	Microsoft Word - 2011 Hazardous Waste Report OMB.doc
Author	PVYAS
File Modified	2011-12-19
File Created	2011-12-19